Individual
BIANCA WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1570 WILMINGTON DR STE 220, DUPONT, WA 98327-8773
(253) 507-7004
Mailing address
5831 N 11TH ST, JOINT BASE LEWIS MCCHORD, WA 98433-1115
(928) 640-0982
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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