Individual
MR. LIONEL NORMAN ENNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, BCBA-D, NCSP
Contact information
Practice address
4915 25TH AVE NE STE 202W, SEATTLE, WA 98105-5668
(206) 697-1369
Mailing address
4822 38TH AVE NE, SEATTLE, WA 98105-3021
(206) 697-1369
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-12-12081
—
103T00000X
Psychologist
Primary
PY60332197
WA
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TS0200X
School Psychologist
473295D
WA
Other
Enumeration date
07/01/2012
Last updated
07/21/2022
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