Individual
GRAYDON L. AGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
819 VIRGINIA ST, UNIT 1603, SEATTLE, WA 98101-4421
(206) 618-4673
Mailing address
819 VIRGINIA ST, UNIT 1603, SEATTLE, WA 98101-4421
(206) 618-4673
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-03-1189
MI
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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