Individual
JILL SUZANNE GERMAIN ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED.
Contact information
Practice address
651 STRANDER BLVD STE 105, TUKWILA, WA 98188-2914
(206) 313-8840
Mailing address
121 TIMBER HEIGHTS DR, PORT LUDLOW, WA 98365-8247
(360) 215-0511
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA60905343
WA
Other
Enumeration date
09/27/2016
Last updated
01/19/2022
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