Individual
DAISY M AMERINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CBT.CB.70011397
Contact information
Practice address
3231 WILLAMETTE DR NE STE A, LACEY, WA 98516-1378
(360) 878-6434
Mailing address
8542 QUEETS DR NE, OLYMPIA, WA 98516-5817
(253) 355-4893
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CBT.CB.70011379
WA
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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