Individual
FEDI TADELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6112 GOULD AVE S, SEATTLE, WA 98108-2959
(202) 780-6475
Mailing address
1239 68TH LOOP SE, AUBURN, WA 98092-8161
(206) 504-6411
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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