Individual
MADISON WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA, LBA
Contact information
Practice address
1445 NW MALL ST, ISSAQUAH, WA 98027-7900
(425) 409-0262
Mailing address
1445 NW MALL ST STE 2, ISSAQUAH, WA 98027-7900
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA61343059
WA
106S00000X
Behavior Technician
CB60967826
WA
Other
Enumeration date
06/14/2019
Last updated
08/24/2022
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