Individual
BRIAN FITZJOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14205 SE 36TH ST # 101, BELLEVUE, WA 98006-1596
(206) 385-9008
Mailing address
14205 SE 36TH ST # 101, BELLEVUE, WA 98006-1596
(206) 385-9008
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/30/2021
Last updated
05/17/2022
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