Individual
SKYLAR BLAKE RADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA, LBA
Contact information
Practice address
7719 PERREGRINE PL, ARLINGTON, WA 98223-5955
(425) 977-5098
Mailing address
7719 PERREGRINE PL, ARLINGTON, WA 98223-5955
(425) 977-5098
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA61115658
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82-4372340
PREMERA AND REGENCE
WA
Enumeration date
12/09/2020
Last updated
12/13/2022
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