Individual
JESSICA COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6919 S 120TH PL, SEATTLE, WA 98178-4138
(240) 270-4992
Mailing address
4301 S PINE ST STE 505, TACOMA, WA 98409-7208
(253) 671-9969
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
70043154
WA
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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