Individual
AMBERLY BERNAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 2ND ST SW STE 140, AUBURN, WA 98001-5203
(253) 737-5078
Mailing address
506 182ND ST E, SPANAWAY, WA 98387-8453
(425) 516-1216
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
61303789
WA
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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