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1194202747
ETHAN RAY HENDERSON
SPOKANE, WA
NPI
1194202747
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2018-07-26
Last Update Date
2018-07-26
Business Address
ETHAN RAY HENDERSON
5709 W SUNSET HWY STE 100
SPOKANE, WA 99224-9446
Phone number: 206-388-0544
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Mailing Address
ETHAN RAY HENDERSON
5709 W SUNSET HWY STE 100
SPOKANE, WA 99224-9446
Phone number: 209-743-8055
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