Individual
CELENA MONROE-MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2424 HERITAGE CT SW STE 200, OLYMPIA, WA 98502-6046
(360) 810-2547
Mailing address
1415 RUDDELL RD SE, LACEY, WA 98503-2716
(702) 768-9968
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
NV
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
01/02/2018
Last updated
12/29/2021
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