Individual
BRIANA ROSE CROSS I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
744 FAWCETT AVE, TACOMA, WA 98402-5505
(425) 292-9171
Mailing address
1516 7TH AVE SW, PUYALLUP, WA 98371-5620
(253) 312-1328
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
01/06/2023
Last updated
01/06/2023
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