Individual
ANNASTACIA LEE COLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3377 BETHEL RD SE STE 107, PORT ORCHARD, WA 98366-5608
(833) 747-4222
Mailing address
8209 SE OVERAA RD, PORT ORCHARD, WA 98367-8663
(360) 621-3655
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
WDL68NTG213B
WA
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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