Individual
WENTAO OU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4746 11TH AVE NE STE 102, SEATTLE, WA 98105-4660
(206) 535-8876
Mailing address
1100 NE 47TH ST APT 411, SEATTLE, WA 98105-4688
(206) 890-9583
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103K00000X
BEHAVIOR ANALYST
—
Enumeration date
11/21/2018
Last updated
11/21/2018
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