Individual
AIDAN VICKERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED., BCBA
Contact information
Practice address
4915 25TH AVE NE STE 202, SEATTLE, WA 98105-5668
(206) 830-0299
Mailing address
4616 25TH AVE NE STE 437, SEATTLE, WA 98105-4183
(206) 830-0299
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
CG60434510
WA
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/24/2013
Last updated
03/23/2021
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