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Individual

ELISA AMBRIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.E., LBA, BCBA

Contact information

Practice address
3443 LILLY RD NE STE B, OLYMPIA, WA 98506-3091
(360) 456-2237
Mailing address
3443 LILLY RD NE, OLYMPIA, WA 98506-3091
(360) 456-2237

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA61014131
WA
106S00000X
Behavior Technician

Other

Enumeration date
12/31/2017
Last updated
02/12/2020
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