Individual
BRANDON MICHAEL WOOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19401 40TH AVE W STE 100, LYNNWOOD, WA 98036-5600
(657) 444-9002
Mailing address
19401 40TH AVE W STE 100, LYNNWOOD, WA 98036-5600
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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