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Individual

MR. CYRUS P. BRICEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
B.A.

Contact information

Practice address
3801 KERN WAY, YAKIMA, WA 98902-6340
(509) 574-3267
(509) 574-6710
Mailing address
5301 TIETON DRIVE, SUITE C, C/O CATHOLIC FAMILY & CHILD SERVICE, YAKIMA, WA 98908-3478
(509) 965-7100
(509) 966-9750

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA60829133
WA
106E00000X
Assistant Behavior Analyst
CG60438404
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2036157
WA
Enumeration date
03/28/2014
Last updated
02/26/2018
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