Individual
JACY WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4526 FEDERAL AVE BLDG 1, EVERETT, WA 98203-2132
(425) 349-8303
Mailing address
4526 FEDERAL AVE BLDG 1, EVERETT, WA 98203-2132
(425) 349-8303
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/02/2016
Last updated
01/21/2022
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