Individual
ALICIA K BOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1240 116TH AVE NE, BELLEVUE, WA 98004-3815
(206) 437-5412
Mailing address
2212 104TH DR NE, LAKE STEVENS, WA 98258-8516
(206) 940-1169
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/07/2017
Last updated
11/07/2017
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