Individual
TIARA CHRISTINA DAGANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10621 58TH DR NE, MARYSVILLE, WA 98270-6619
(360) 454-8307
Mailing address
10621 58TH DR NE, MARYSVILLE, WA 98270-6619
(360) 454-8307
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
61532044
WA
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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