Individual
EMILY RUTH ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8282 28TH CT NE, LACEY, WA 98516-7162
(360) 915-6868
Mailing address
8282 28TH CT NE, LACEY, WA 98516-7162
(360) 915-6868
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2027980
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2027980
—
WA
Enumeration date
05/15/2017
Last updated
07/21/2022
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