Individual
MADISON ISABEL PEARL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., BCBA, LBA
Contact information
Practice address
1445 NW MALL ST STE 2, ISSAQUAH, WA 98027-7900
(206) 380-3009
(208) 416-6922
Mailing address
1445 NW MALL ST STE 2, ISSAQUAH, WA 98027-7900
(206) 380-3009
(208) 416-6922
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA61418409
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-23-64469
BEHAVIOR ANALYST CERTIFICATION BOARD
—
Enumeration date
08/15/2019
Last updated
03/31/2023
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