Individual
BRANDAN RYAN LILLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MENTAL HEALTH TECH
Contact information
Practice address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-6200
Mailing address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 892-5875
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
04/16/2019
Last updated
04/16/2019
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