Individual
CHRISTINA CORNELIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6210 75TH ST W STE B100, LAKEWOOD, WA 98499-8109
(253) 345-5720
Mailing address
5850 GRANITE PKWY STE 600, PLANO, TX 75024-6753
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
09/01/2022
Last updated
09/21/2022
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