Individual
ALYSHA NANOUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
15556 8TH AVE NE, SHORELINE, WA 98155-6239
(907) 304-3133
Mailing address
15556 8TH AVE NE, SHORELINE, WA 98155-6239
(907) 304-3133
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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