Individual
ELLIANNA PHEASANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CBT
Contact information
Practice address
500 N WENATCHEE AVE, WENATCHEE, WA 98801-6655
(360) 984-3131
Mailing address
8019 NE 13TH AVE, VANCOUVER, WA 98665-9604
(360) 984-3131
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61553223
WA
Other
Enumeration date
05/31/2024
Last updated
11/14/2024
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