Individual
BRANDY BRISBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20818 44TH AVE W, LYNNWOOD, WA 98036-7709
(425) 712-0802
Mailing address
20818 44TH AVE W, LYNNWOOD, WA 98036-7709
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61450758
WA
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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