Individual
AMBER MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1003 7TH AVE STE A, KIRKLAND, WA 98033-5779
(219) 669-6877
Mailing address
1003 7TH AVE STE A, KIRKLAND, WA 98033-5779
(219) 669-6877
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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