Individual
IRAFASHA JACQUELINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 194TH ST SW STE 100, LYNNWOOD, WA 98036-4613
(425) 426-2761
Mailing address
996 ROYAL MARCO WAY, MARCO ISLAND, FL 34145-1829
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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