Individual
ELYSSA BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 BROADWAY STE 301, TACOMA, WA 98402-4454
(707) 319-0545
Mailing address
PO BOX 7156, COVINGTON, WA 98042-0041
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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