Individual
DAREK BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CBT
Contact information
Practice address
3443 LILLY RD NE STE B, OLYMPIA, WA 98506-3091
(360) 456-2237
Mailing address
3443 LILLY RD NE STE B, OLYMPIA, WA 98506-3091
(360) 456-2237
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
11/24/2019
Last updated
11/24/2019
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