Individual
ALLEN GENE BRICENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CBT
Contact information
Practice address
320 6TH ST, RAYMOND, WA 98577-2503
(253) 254-2916
Mailing address
PO BOX 859, RAYMOND, WA 98577-0859
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61176189
WA
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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