Individual
JUSTIN NOONAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED., BCBA, LBA
Contact information
Practice address
3680 S CEDAR ST STE A, TACOMA, WA 98409-5728
(206) 313-8840
Mailing address
3023 S 14TH ST, TACOMA, WA 98405-2410
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111524501
—
WA
Enumeration date
08/04/2020
Last updated
02/23/2021
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