Organization
TLC BEHAVIORAL CONSULTING SERVICES
Active
Other names
TLC Behavioral Consulting LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA WALLY M.S., BCBA, LBA (EXECUTIVE DIRECTOR OF CLINICAL)
(360) 210-6168
Entity
Organization
Contact information
Practice address
5809 NE 71ST AVE # C12, VANCOUVER, WA 98661-1936
(360) 210-6168
(360) 925-3183
Mailing address
5809 NE 71ST AVE UNIT 12, VANCOUVER, WA 98661-1944
(360) 210-6168
(360) 925-3183
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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