Individual
ERICA MORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1570 WILMINGTON DR STE 220, DUPONT, WA 98327-8773
(206) 453-4882
Mailing address
15010 108TH PL NE, BOTHELL, WA 98011-4837
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61097845
WA
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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