Individual
DAMANI JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3612 E LAKE SAMMAMISH PKWY NE, SAMMAMISH, WA 98074-4527
(203) 809-9759
Mailing address
3612 E LAKE SAMMAMISH PKWY NE, SAMMAMISH, WA 98074-4527
(203) 809-9759
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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