Individual
DAVI CASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CB
Contact information
Practice address
22845 SE 1ST PL APT 215, SAMMAMISH, WA 98074-5038
(805) 668-8961
(208) 416-6922
Mailing address
22845 SE 1ST PL APT 215, SAMMAMISH, WA 98074-5038
(805) 668-8961
(208) 416-6922
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB60836436
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB60836436
WASHINGTON DOH
WA
Enumeration date
04/07/2020
Last updated
04/07/2020
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