FORMATIONS BEHAVIOR THERAPY

VANCOUVER, WA
NPI1326546235
Entity TypeOrganization
Authorized ContactELLIS GRANT THOMPSON
Executive Director
206-854-1829
Organization Subpart ?No
Primary Taxonomy251S00000X 
(Licence: WA  604176297)
Enumeration Date2018-01-25
Last Update Date2019-06-03
Business Address
FORMATIONS BEHAVIOR THERAPY
1313 NE 134TH ST STE 110
VANCOUVER, WA 98685
Phone number: 360-518-6249
Mailing Address
FORMATIONS BEHAVIOR THERAPY
5502 NE 74TH AVE
VANCOUVER, WA 98662-6386
Phone number: 360-518-6249
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