Individual
TRISTAN DAELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. LBA DCR
Contact information
Practice address
1100 S 2ND ST # 1, MOUNT VERNON, WA 98273-4209
(360) 419-3640
(360) 419-3535
Mailing address
1100 S 2ND ST # 1, MOUNT VERNON, WA 98273-4209
(360) 419-3640
(360) 419-3535
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG60242504
WA
103K00000X
Behavior Analyst
Primary
1-15-19009
WA
103K00000X
Behavior Analyst
BA60791227
WA
Other
Enumeration date
01/16/2014
Last updated
09/06/2024
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