Individual
AN N LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1415 HARRISON AVE NW STE 102, OLYMPIA, WA 98502-5359
(360) 605-0163
Mailing address
1415 HARRISON AVE NW STE 102, OLYMPIA, WA 98502-5359
(360) 605-0163
(855) 959-2451
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/02/2019
Last updated
07/23/2024
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