Individual
ANGELA CARMEN WHIPPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
208 LILLY RD NE STE B, OLYMPIA, WA 98506-6100
(360) 456-2237
Mailing address
630 N 11TH ST, ELMA, WA 98541-9332
(360) 470-6107
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-33402
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-18-33402
BCBA
—
Enumeration date
06/28/2017
Last updated
12/27/2018
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