Individual
AMMELIA ZOIE DANSE' WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHP-A, QMHP-C, BS
Contact information
Practice address
18311 BOTHELL EVERETT HWY STE 260, BOTHELL, WA 98012-5233
(206) 437-5412
Mailing address
1304 BRUSKRUD RD APT E205, EVERETT, WA 98208-4120
(703) 825-0225
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
WA
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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