Individual
HOLLY ANN PENDRAGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1701 NE COLUMBIA RD, SEATTLE, WA 98195-0001
(206) 221-6806
(877) 719-8701
Mailing address
1019 PACIFIC AVE APT 1104, TACOMA, WA 98402-4468
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CBT.CB.70087572
WA
Other
Enumeration date
02/26/2026
Last updated
02/26/2026
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