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Individual

AUDREY LISTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
1200 BOYLSTON AVE APT 404, SEATTLE, WA 98101-2814
(970) 213-2721
Mailing address
1200 BOYLSTON AVE APT 404, SEATTLE, WA 98101-2814

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
60787800
WA

Other

Enumeration date
09/13/2017
Last updated
09/13/2017
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