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Individual

JASON MULLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3214 W MCGRAW ST STE 212, SEATTLE, WA 98199-3239
(206) 453-4882
Mailing address
8700 2ND AVE NW, A, SEATTLE, WA 98117-3036

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
CG60686245
WA
106S00000X
Behavior Technician
Primary
CG 60686245
WA

Other

Enumeration date
08/01/2016
Last updated
11/10/2016
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