Individual
MICHELLE LAREE EDGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
837 CALLAHAN DR, BREMERTON, WA 98310-3368
(360) 536-3015
Mailing address
21600 OXNARD ST, WOODLAND HILLS, CA 91367-4976
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
WA
106E00000X
Assistant Behavior Analyst
Primary
AB61548307
WA
Other
Enumeration date
10/03/2018
Last updated
01/22/2026
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