Individual
BRENTON WACHTELL FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT, CBT
Contact information
Practice address
15600 REDMOND WAY STE 302, REDMOND, WA 98052-3862
(425) 242-0973
Mailing address
15600 REDMOND WAY STE 302, REDMOND, WA 98052-3862
(425) 242-0973
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61215271
WA
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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