DANIELLE DOMINIQUE FASTABEND

VANCOUVER, WA
NPI1659924363
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: WA  CB0974695)
Enumeration Date2019-07-22
Last Update Date2019-07-22
Business Address
DANIELLE DOMINIQUE FASTABEND CBT
9414 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98662-6109
Phone number: 360-892-5142
Mailing Address
DANIELLE DOMINIQUE FASTABEND CBT
2408 SE GRACE AVE
BATTLE GROUND, WA 98604-8634
Phone number: 360-553-9917
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