Individual
JACOB HVASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4100 194TH ST SW STE 100, LYNNWOOD, WA 98036-4613
(425) 426-2761
Mailing address
3720 196TH ST SW APT 723, LYNNWOOD, WA 98036-5895
(206) 300-4288
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/25/2021
Last updated
02/25/2021
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