Individual
MS. JACQUELYN AIMEE VAN PATTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
118 N 35TH ST STE 100, SEATTLE, WA 98103-8654
(503) 701-7342
Mailing address
118 N 35TH ST STE 100, SEATTLE, WA 98103-8654
(206) 617-9942
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA61665411
WA
Other
Enumeration date
02/04/2025
Last updated
02/19/2025
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