Individual
AAYUSH AMBRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4101 SE 192ND AVE STE 101, VANCOUVER, WA 98683-1471
(360) 605-1881
Mailing address
996 ROYAL MARCO WAY, MARCO ISLAND, FL 34145-1829
(360) 605-1811
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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