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Individual

MS. VANESSA SHANE CASIO BERNALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2405 28TH ST, ANACORTES, WA 98221-2484
(360) 333-5684
Mailing address
701 NE OTIS ST., COUPEVILLE, WA 98239

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106S00000X
Behavior Technician

Other

Enumeration date
10/02/2017
Last updated
06/11/2019
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