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Individual

DARLENE MICHELLE BACELONIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, BCBA, LBA

Contact information

Practice address
720 S 333RD ST STE 130, FEDERAL WAY, WA 98003-7357
(253) 766-5156
Mailing address
3214 W MCGRAW ST STE 212, SEATTLE, WA 98199-3239

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-27031

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1709114593
WA
Enumeration date
03/16/2015
Last updated
08/30/2021
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