Individual
ETHAN BRADY BRASSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8811 S TACOMA WAY STE 204&206, LAKEWOOD, WA 98499-4595
(425) 217-1140
Mailing address
615 N YAKIMA AVE, TACOMA, WA 98403-2417
(253) 442-4379
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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