Individual
CIERRA GHAFARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
218 S 38TH ST, TACOMA, WA 98418-7807
(206) 313-8840
Mailing address
2317 SW 346TH ST, FEDERAL WAY, WA 98023-3008
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111524501
—
WA
Enumeration date
06/10/2018
Last updated
06/10/2018
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