Individual
COLLIN PAIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
246 N MISSION ST, WENATCHEE, WA 98801-2004
(509) 293-8116
Mailing address
246 N MISSION ST, WENATCHEE, WA 98801-2004
(509) 293-8116
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
1952995680
WA
Other
Enumeration date
02/23/2021
Last updated
07/21/2021
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