Individual
ANYSSA DE VERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2348 S TRAIL VIEW CT, RIDGEFIELD, WA 98642-2805
(360) 953-1247
(888) 261-6694
Mailing address
2348 S TRAIL VIEW CT, RIDGEFIELD, WA 98642-2805
(360) 953-1247
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/27/2020
Last updated
03/05/2026
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