Individual
AUSTIN FARRELL ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED, BCBA, LABA
Contact information
Practice address
20818 44TH AVE W STE 190, LYNNWOOD, WA 98036-7745
(425) 673-6908
Mailing address
23601 56TH AVE W UNIT 4104, MOUNTLAKE TERRACE, WA 98043-5268
(425) 275-6272
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
AB61427616
WA
106S00000X
Behavior Technician
CG60703536
WA
Other
Enumeration date
10/04/2016
Last updated
05/03/2023
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