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Individual

RAVNEET KAUR GREWAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
30514 25TH PL SW, FEDERAL WAY, WA 98023-2347
(206) 653-6686
Mailing address
30514 25TH PL SW, FEDERAL WAY, WA 98023-2347
(206) 653-6686

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
AB61026385
WA
106E00000X
Assistant Behavior Analyst
Primary
106S00000X
Behavior Technician
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LAG761787713393
BLUECROSS
WA
Enumeration date
10/05/2017
Last updated
12/16/2024
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