Individual
AUGUST ANDERSON-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
3231 WILLAMETTE DR NE STE C, LACEY, WA 98516-1378
(803) 873-1920
Mailing address
13145 176TH AVE E, BONNEY LAKE, WA 98391-4522
(803) 760-9394
(360) 889-1920
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61110998
WA
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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