Individual
BRIAN LOUGHRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4501 6TH AVE, TACOMA, WA 98406-3503
(833) 971-1230
Mailing address
2217 N 28TH ST, TACOMA, WA 98403-3309
(253) 241-5333
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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