Individual
FLANNERY ANABELL TIRTOMIHARDJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4746 11TH AVE NE # 112, SEATTLE, WA 98105-4657
(206) 535-8876
Mailing address
820 W FULTON ST, SEATTLE, WA 98119-2269
(425) 923-0821
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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