Individual
NICOLAS BANGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14605 70TH AVE NW, STANWOOD, WA 98292-5607
(360) 322-9214
Mailing address
14605 70TH AVE NW, STANWOOD, WA 98292-5607
(360) 322-9214
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/23/2022
Last updated
08/05/2026
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