Individual
FELIPE IVAN CIRIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3801 KERN WAY, YAKIMA, WA 98902-6340
(509) 574-3200
(509) 574-3210
Mailing address
3801 KERN WAY, YAKIMA, WA 98902-6340
(509) 574-3200
(509) 574-3210
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CB60776212
WA
106S00000X
Behavior Technician
CG60499505
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2039178
—
WA
Enumeration date
09/23/2014
Last updated
01/24/2020
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