Individual
DANIELLE M GRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 PACIFIC AVE STE 100, EVERETT, WA 98201-4188
(425) 258-7097
Mailing address
2720 HOYT AVE APT 126, EVERETT, WA 98201-3583
(208) 966-1512
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
61325930
WA
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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