Individual
ABBY SHEAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
251 E NORTHCREST RD, ALLYN, WA 98524-8796
(360) 801-3292
Mailing address
PO BOX 1275, ALLYN, WA 98524-1275
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274519866
—
WA
Enumeration date
09/12/2014
Last updated
08/08/2019
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