Organization
PURSUING POTENTIAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WHELAN WALLACH M.ED, BCBA (OWNER)
(425) 420-7710
Entity
Organization
Contact information
Practice address
21917 78TH PL W, EDMONDS, WA 98026-7877
(425) 420-7710
(214) 593-5311
Mailing address
21917 78TH PL W, EDMONDS, WA 98026-7877
(425) 420-7710
(214) 593-5311
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
WA
Other
Enumeration date
04/02/2017
Last updated
04/02/2017
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