Individual
CREIGH KREINBRINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
218 S 38TH ST, TACOMA, WA 98418-7807
(206) 313-8840
Mailing address
17005 138TH AVE E, PUYALLUP, WA 98374-6814
(206) 313-8840
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
WA
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111524501
—
WA
Enumeration date
08/30/2016
Last updated
08/16/2018
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