Organization
MAXIM HEALTHCARE SERVICES
Active
Organization
MAXIM HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANYA VAUPEL (BOARD CERTIFIED BEHAVIOR ANALYST)
(253) 292-4354
Entity
Organization
Contact information
Practice address
4301 S PINE ST STE 505, TACOMA, WA 98409-7208
(253) 292-4354
(253) 292-5343
Mailing address
4301 S PINE ST STE 505, TACOMA, WA 98409-7208
(253) 292-4354
(253) 292-5343
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
IHS.FS.00000375
WA
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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