Individual
ASHLEY JORDAN HENDRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
632 182ND ST SE, BOTHELL, WA 98012-6275
(425) 246-9784
Mailing address
15515 JUANITA WOODINVILLE WAY NE UNIT I103, BOTHELL, WA 98011-1599
(425) 516-2484
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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