Individual
TRACI WHYTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 NW BUCKLIN HILL RD, SUITE 215, SILVERDALE, WA 98383-8358
(360) 337-2222
Mailing address
6409 NE BALZOW RD, SUQUAMISH, WA 98392-9548
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
910575956
—
WA
Enumeration date
12/15/2015
Last updated
12/15/2015
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