Individual
MICHAEL MCMULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
903 144TH STREET CT S, TACOMA, WA 98444-3337
(253) 503-9545
Mailing address
903 144TH STREET CT S, TACOMA, WA 98444-3337
(253) 503-9545
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
CB60996183
WA
Other
Enumeration date
08/08/2020
Last updated
08/08/2020
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