Individual
AUTUMN EVE SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NA-R
Contact information
Practice address
19204 N CREEK PKWY STE 110, BOTHELL, WA 98011-8009
(818) 241-6780
(818) 241-6853
Mailing address
19204 N CREEK PKWY STE 110, BOTHELL, WA 98011-8009
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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