Individual
CHRISTA DUNCAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
218 S 38TH ST, TACOMA, WA 98418-7807
(253) 278-6612
Mailing address
19511 126TH ST E, BONNEY LAKE, WA 98391-6062
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111524501
—
WA
Enumeration date
02/20/2017
Last updated
02/20/2017
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