Individual
IAN VAN NIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
955 3RD ST STE 201, BLAINE, WA 98230-4057
(206) 751-6155
Mailing address
955 3RD ST STE 201, BLAINE, WA 98230-4057
(206) 751-6155
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CBT.CB.70140126
WA
Other
Enumeration date
06/29/2026
Last updated
06/29/2026
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