Individual
HOLLY LYNN SUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, AAC
Contact information
Practice address
3801 KERN ROAD, CHILDREN'S VILLAGE, YAKIMA, WA 98902
(509) 574-3267
(509) 574-6710
Mailing address
5301 TIETON DR STE C, 5301 TIETON DRIVE SUITE C, YAKIMA, WA 98908-3479
(509) 965-7100
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA60828820
WA
106E00000X
Assistant Behavior Analyst
CG60672517
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2065792
—
WA
Enumeration date
09/01/2016
Last updated
03/07/2018
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