Individual
ANTHONY ROBERTS
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) 915-6868
Mailing address
8282 28TH CT NE STE A, LACEY, WA 98516-7162
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
ROBERAL101BT
WA
Other
Enumeration date
04/06/2015
Last updated
04/06/2015
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