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Individual

ROSEANN WIDELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED., BCBA, LBA

Contact information

Practice address
6239 WOODLAWN AVE N, SEATTLE, WA 98103
(310) 709-3025
(206) 729-2660
Mailing address
6239 WOODLAWN AVE N, SEATTLE, WA 98103-5716
(310) 709-3025

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA60950253
WA
106S00000X
Behavior Technician

Other

Enumeration date
06/14/2017
Last updated
04/19/2019
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