Individual
BRANDON MARSICEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
419 NE 71ST ST APT 407, SEATTLE, WA 98115
(906) 295-0949
Mailing address
419 NE 71ST ST APT 407, SEATTLE, WA 98115-5876
(906) 295-0949
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG60675292
WA
103K00000X
Behavior Analyst
Primary
61079809
WA
106E00000X
Assistant Behavior Analyst
AB60967560
WA
Other
Enumeration date
07/27/2016
Last updated
09/15/2020
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