Individual
JEAN VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27023 164TH AVE SE, COVINGTON, WA 98042-8241
(253) 639-7146
Mailing address
12509 SE 299TH PL, AUBURN, WA 98092-2186
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-17-37719
RBT
—
Enumeration date
01/15/2018
Last updated
01/15/2018
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