Individual
DIANA MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
BASIC NW LLC 320 SIXTH ST, RAYMOND, WA 98586
(360) 915-6868
Mailing address
PO BOX 859, RAYMOND, WA 98577-0859
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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