Individual
COLLEEN MAE BUCKINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8282 26TH CT NE STE A, LACEY, WA 98516
(360) 915-6868
Mailing address
8282 26TH CT NE A, LACEY, WA 98516
(360) 915-6868
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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