Individual
CARLA-MARIE MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.C.B.A.
Contact information
Practice address
2605 NE 152ND CIR, VANCOUVER, WA 98686-1545
(503) 462-5888
Mailing address
2605 NE 152ND CIR, VANCOUVER, WA 98686-1545
(503) 462-5888
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-14384
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2027980
—
WA
Enumeration date
03/31/2014
Last updated
03/07/2017
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