Individual
MR. BARRY JOHN KORNEGAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
5031 UNIVERSITY WAY NE # 105, SEATTLE, WA 98105-4341
(206) 427-0115
Mailing address
10707 13TH AVE W, EVERETT, WA 98204-3735
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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