Individual
MARIESA SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1539 NW 62ND ST, UNIT B, SEATTLE, WA 98107-2336
(814) 746-1532
Mailing address
1539 NW 62ND ST, UNIT B, SEATTLE, WA 98107-2336
(814) 746-1532
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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