Individual
MARC TANNOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. ED, BCBA
Contact information
Practice address
651 STRANDER BLVD STE 105, TUKWILA, WA 98188-2914
(206) 313-8840
Mailing address
952 N 80TH ST, APT 2, SEATTLE, WA 98103-4360
(612) 876-1437
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111524501
—
WA
Enumeration date
09/07/2016
Last updated
04/04/2018
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