Individual
LISA JOANN CARLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CBT, RBT
Contact information
Practice address
4000 FLYNN ST, SPC 110, BELLINGHAM, WA 98229-6055
(206) 484-5246
Mailing address
2110 IRON ST, BELLINGHAM, WA 98225-4123
(206) 484-5246
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
60777159
WA
Other
Enumeration date
06/02/2014
Last updated
04/01/2019
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