Organization
BEHAVIOR ISSUES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK SHAW BCBA (OWNER)
(508) 981-3897
Entity
Organization
Contact information
Practice address
2313 SW 339TH ST, FEDERAL WAY, WA 98023-7730
(508) 981-3897
Mailing address
2313 SW 339TH ST, FEDERAL WAY, WA 98023-7730
(508) 981-3897
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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