SAM ALLEN SIEVERTSEN

KENT, WA
NPI1346817236
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2021-06-08
Last Update Date2021-06-08
Business Address
SAM ALLEN SIEVERTSEN
6624 S 196TH ST STE U107
KENT, WA 98032-3113
Phone number: 800-249-1266
Mailing Address
SAM ALLEN SIEVERTSEN
1301 E ORANGEWOOD AVE
ANAHEIM, CA 92805-6807
Phone number: