Individual
JERRICA CLAIRE VILORIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CBT.CB.61074441
Contact information
Practice address
1221 NE 180TH ST APT 310, SHORELINE, WA 98155-3881
(360) 774-3139
Mailing address
1221 NE 180TH ST APT 310, SHORELINE, WA 98155-3881
(360) 774-3139
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CBT.CB.61074441
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102054119WA
—
WA
Enumeration date
05/19/2020
Last updated
05/19/2020
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