Individual
ELIZABETH BROOKE STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1570 WILMINGTON DRIVE, STE 220, DUPONT, WA 98327
(206) 453-4482
Mailing address
3125 26TH AVE NE, OLYMPIA, WA 98506-3014
(360) 556-9777
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
WA
Other
Enumeration date
02/12/2013
Last updated
06/25/2020
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