Individual
AMBER PICKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11811 STATE AVE APT D202, MARYSVILLE, WA 98271-8476
(425) 293-4778
Mailing address
11811 STATE AVE APT D202, MARYSVILLE, WA 98271-8476
(425) 293-4778
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CG60641111
WA
Other
Enumeration date
02/29/2016
Last updated
10/27/2016
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