Individual
GRACE ANNE SPORER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
10020 166TH AVE NE, REDMOND, WA 98052-3010
(425) 499-7202
Mailing address
1813 19TH AVE APT 207, SEATTLE, WA 98122-2861
(541) 821-8109
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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