Individual
JAKOBIE LATRELL BOUIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4508 AUBURN WAY N STE B, AUBURN, WA 98002-1381
(425) 246-7038
Mailing address
11922 185TH ST E, PUYALLUP, WA 98374-9179
(253) 259-6657
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/30/2025
Last updated
09/09/2025
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