Individual
MS. STACEY LYNN SHOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3003 NORTHUP WAY, SUITE 200, BELLEVUE, WA 98004-1471
(425) 822-6442
(425) 828-3101
Mailing address
711 N 35TH ST, APT. 102, SEATTLE, WA 98103-3412
(206) 390-0460
(425) 828-3101
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-00-0065
—
Other
Enumeration date
12/19/2012
Last updated
12/19/2012
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