Individual
SHANNON CRISSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA
Contact information
Practice address
9265 44TH AVE SW, SEATTLE, WA 98136
(206) 601-6237
Mailing address
9265 44TH AVE SW, SEATTLE, WA 98136
(206) 618-8517
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-11618
WA
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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