Individual
JAMIE LYNN MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1380 112TH AVE NE STE 206, BELLEVUE, WA 98004-3759
(425) 754-5135
Mailing address
8017 16TH AVE NE, SEATTLE, WA 98115-4361
(239) 398-0312
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61481868
WA
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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