Individual
CHANELLE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10817 206TH ST E, GRAHAM, WA 98338-8841
(406) 249-6412
Mailing address
1609 S 96TH ST, TACOMA, WA 98444-2801
(253) 442-0265
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61004741
WA
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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