Organization
MAGNOLIA BEHAVIOR THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MCCULLOUGH CAMPBELL (MANAGER)
(206) 453-1304
Entity
Organization
Contact information
Practice address
214 W MCGRAW ST STE 306, SEATTLE, WA 98119-2664
(206) 453-1304
Mailing address
214 WEST MCGRAW STE 306, SEATTLE, WA 98199
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/13/2014
Last updated
06/13/2014
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