Individual
CAROLINE RAE WAIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 DEXTER AVE N, 100, SEATTLE, WA 98109-3598
(772) 675-9100
Mailing address
3105 TULLIBEE CIR APT P2, SILVERDALE, WA 98315-9716
(303) 856-5299
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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