Individual
AMY LYNN MUETTERTIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, M.ED., BCBA
Contact information
Practice address
2310 130TH AVE NE STE 100, BELLEVUE, WA 98005-1757
(425) 882-8868
Mailing address
5711 24TH AVE NW UNIT 518, SEATTLE, WA 98107-3464
(720) 320-0461
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA60826831
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BA60826831
LICENSED BEHAVIOR ANALYST
WA
Enumeration date
08/27/2014
Last updated
03/04/2018
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