Individual
JOHN NICHOLAS KETCHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA, LBA
Contact information
Practice address
1701 NE COLUMBIA RD, SEATTLE, WA 98195-0001
(206) 221-6806
Mailing address
14727 BOTHELL WAY NE APT 15, SHORELINE, WA 98155-7621
(360) 477-8322
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA61133631
WA
Other
Enumeration date
06/13/2016
Last updated
01/13/2021
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