Individual
ABHIJIT BHARGAV GUTTIKONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8725 S 212TH ST, KENT, WA 98031-1921
(425) 658-3016
Mailing address
16643 NE 39TH WAY APT N1043, REDMOND, WA 98052-6346
(253) 666-5646
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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