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1174968259
SARA ELISE NICKERSON
BREMERTON, WA
NPI
1174968259
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: WA BA60769870)
Enumeration Date
2013-05-02
Last Update Date
2024-08-30
Business Address
Miss SARA ELISE NICKERSON BCBA
837 CALLAHAN DR
BREMERTON, WA 98310-3368
Phone number: 360-431-2724
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Mailing Address
Miss SARA ELISE NICKERSON BCBA
501 N J ST APT 7
TACOMA, WA 98403-2035
Phone number: 360-431-2724
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