Individual
CORY PADILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
651 STRANDER BLVD STE 105, TUKWILA, WA 98188-2914
(206) 313-8840
Mailing address
651 STRANDER BLVD STE 105, TUKWILA, WA 98188-2914
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1115245
—
WA
Enumeration date
06/19/2018
Last updated
06/19/2018
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