Individual
GENEVA TOLEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8811 S TACOMA WAY STE 206, LAKEWOOD, WA 98499-4595
(206) 388-0544
Mailing address
310 113TH ST E, TACOMA, WA 98445-7732
(253) 678-7824
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-16-19408
CA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/02/2018
Last updated
05/06/2020
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