Individual
MADELINE ESTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
651 STRANDER BLVD STE 105, TUKWILA, WA 98188-2914
(884) 020-6313
Mailing address
1027 BELLEVUE CT E APT 205, SEATTLE, WA 98102-4414
(504) 236-8965
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA61032064
WA
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111524501
—
WA
Enumeration date
09/05/2019
Last updated
01/29/2020
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