Individual
CHELSEA LEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13521 97TH AVE E APT 103, PUYALLUP, WA 98373-5576
(360) 915-6868
Mailing address
13521 97TH AVE E APT 103, PUYALLUP, WA 98373-5576
(360) 915-6868
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
61151572
WA
Other
Enumeration date
04/08/2022
Last updated
04/08/2022
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