Individual
CARTER RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CBT
Contact information
Practice address
716 MT BAKER AVE NE, RENTON, WA 98059-4835
(206) 949-7640
(425) 572-0653
Mailing address
716 MT BAKER AVE NE, RENTON, WA 98059-4835
(206) 949-7640
(425) 572-0653
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB60939206
WA
Other
Enumeration date
03/03/2019
Last updated
03/03/2019
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