Individual
THERESA STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
13010 NE 20TH ST STE 300, BELLEVUE, WA 98005-2054
(425) 644-6328
Mailing address
5150 VILLAGE PARK DR SE, BELLEVUE, WA 98006-6652
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA61580786
WA
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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