Individual
BREANNA LEE GASTALDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2317 24TH AVE E, SEATTLE, WA 98112-2606
(206) 618-3120
Mailing address
2317 24TH AVE E, SEATTLE, WA 98112-2606
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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