Individual
ADRIAN JAMES HEAP JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12826 SE 40TH LN, BELLEVUE, WA 98006-4278
(206) 331-1258
Mailing address
3111 BROAD ST, BELLINGHAM, WA 98225-8342
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61230916
WA
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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