Individual
MS. ANASTASIYA SHAPOVALOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBA, BCBA
Contact information
Practice address
10228 9TH AVE S, SEATTLE, WA 98168-1513
(323) 243-0413
Mailing address
10228 9TH AVE S, SEATTLE, WA 98168-1513
(323) 243-0413
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
60763539
WA
Other
Enumeration date
08/01/2011
Last updated
04/23/2020
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