Individual
JADEN CALE MARTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7808 PACIFIC AVE STE 9, TACOMA, WA 98408-7039
(360) 240-0022
Mailing address
230 E 36TH ST APT A, TACOMA, WA 98404-1555
(253) 880-5235
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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