Individual
EDGAR MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LABA
Contact information
Practice address
7808 PACIFIC AVE STE 9, TACOMA, WA 98408-7039
(866) 240-0808
Mailing address
1020 108TH AVE NE APT 1903, BELLEVUE, WA 98004-8680
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0
—
WA
Enumeration date
08/08/2022
Last updated
08/08/2022
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