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Individual

VIRGINIA BUTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
950 BROADWAY STE 301, TACOMA, WA 98402-4454
(253) 671-9909
Mailing address
6199 HORIZON HEIGHTS DR, KALAMAZOO, MI 49009-9105
(443) 201-2217
(443) 341-4177

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA70040559
WA
106E00000X
Assistant Behavior Analyst
106S00000X
Behavior Technician

Other

Enumeration date
01/03/2018
Last updated
12/04/2025
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