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Individual

CHARLOTTE DITTMAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA, LBA

Contact information

Practice address
12729 NORTHUP WAY STE 23, BELLEVUE, WA 98005-1935
(866) 727-8271
Mailing address
2550 N HOLLYWOOD WAY STE 102, BURBANK, CA 91505-5031

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-72612
WA
106S00000X
Behavior Technician
CB60961395
WA

Other

Enumeration date
11/25/2019
Last updated
05/03/2024
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