Individual
MRS. ANGELINA STOMLUND LEASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA-LBA
Contact information
Practice address
1205 35TH STREET PL SE, PUYALLUP, WA 98372-4400
(253) 339-6094
(253) 251-0716
Mailing address
1205 35TH STREET PL SE, PUYALLUP, WA 98372-4400
(253) 339-6094
(253) 251-0716
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/28/2014
Last updated
07/10/2022
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