Individual
RICHARD WHITE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8282 28TH CT NE STE A, LACEY, WA 98516-7162
(360) 515-5783
Mailing address
165 HOWE RD E, TOLEDO, WA 98591-9204
(360) 864-4095
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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