| NPI | 1164961025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLEE D'ANN WICKLER Owner 425-246-9784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA 1-13-14776) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WA RBT-16-20417) |
| 106S00000X Behavior Technician (Licence: WA RBT-16-23299) | |
| 101Y00000X Counselor (Licence: WA CAAR.CG.60659106) | |
| 103K00000X Behavior Analyst (Licence: WA 1-11-8640) | |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2024-01-31 |