Individual
EMILY MICHIKO IDEMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 112TH AVE NE STE 260E, BELLEVUE, WA 98004-2937
(415) 320-6915
Mailing address
1800 112TH AVE NE, BELLEVUE, WA 98004-2993
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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