Individual
JAIME ANNE OTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32650 STATE ROUTE 20 STE 108, OAK HARBOR, WA 98277-2641
(360) 279-9000
Mailing address
32650 STATE ROUTE 20 STE 108, OAK HARBOR, WA 98277-2641
(360) 279-9000
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
60912906
WA
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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