Individual
CHANNRA D PHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3810 166TH PL NE STE 202B, ARLINGTON, WA 98223-8403
(425) 949-0801
(866) 764-2841
Mailing address
8450 67TH AVE NE UNIT D102, MARYSVILLE, WA 98270-7995
(425) 501-7440
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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