Individual
CYNTHIA RAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.HT., RBT
Contact information
Practice address
605 2ND ST STE 211, SNOHOMISH, WA 98290-2997
(844) 454-3210
Mailing address
605 2ND ST STE 211, SNOHOMISH, WA 98290-2997
(844) 454-3210
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
60646940
WA
106S00000X
Behavior Technician
Primary
60780344
WA
174400000X
Specialist
60646940
WA
374K00000X
Religious Nonmedical Practitioner
—
—
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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