Individual
ANISSA SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4412 6TH AVE, TACOMA, WA 98406-3500
(253) 285-7180
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-84368
WA
Other
Enumeration date
03/26/2019
Last updated
07/29/2019
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