Individual
MONA RAE FULUVAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 NW BUCKLIN HILL RD, SUITE 224, SILVERDALE, WA 98383-8358
(360) 536-3060
(347) 823-9717
Mailing address
10259 YATES LN NW, BREMERTON, WA 98312-9543
(360) 536-3060
(347) 823-9717
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG60508326
WA
106E00000X
Assistant Behavior Analyst
Primary
0-16-7120
WA
Other
Enumeration date
07/31/2015
Last updated
09/19/2017
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