Individual
MARTHA JOE STAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
13010 NE 20TH ST STE 300, BELLEVUE, WA 98005-2054
(206) 905-4660
Mailing address
13010 NE 20TH ST STE 300, BELLEVUE, WA 98005-2054
(206) 905-4660
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG60377353
AGENCY AFFILIATED COUNSELOR
WA
Enumeration date
03/27/2013
Last updated
03/20/2017
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