Individual
AUSTIN TAYLOR DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
414 W BAKERVIEW RD STE 101, BELLINGHAM, WA 98226-8180
(360) 738-9500
(360) 738-9501
Mailing address
20818 44TH AVE W STE 270, LYNNWOOD, WA 98036-7709
(425) 673-6911
(425) 712-0641
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61053568
WA
Other
Enumeration date
03/18/2020
Last updated
03/18/2020
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