Individual
MRS. TINA LYNNE SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1217 COOPER POINT RD SW, OLYMPIA, WA 98502-7204
(360) 464-9052
Mailing address
6513 197TH CT SW, ROCHESTER, WA 98579-8692
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
60777147
WA
Other
Enumeration date
08/03/2017
Last updated
02/15/2024
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