Individual
DAYLENE MARIE GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT, CBT
Contact information
Practice address
13333 NE BEL RED RD STE 100, BELLEVUE, WA 98005-2332
(425) 559-7809
(877) 669-1490
Mailing address
13333 NE BEL RED RD STE 100, BELLEVUE, WA 98005-2332
(425) 559-7809
(877) 669-1490
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB60786345
WA
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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