MICHAEL PHOENIX JAY HEFFERAN

LYNNWOOD, WA
NPI1699358465
Former NameMEGAN MARIE HEFFERAN
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2021-04-29
Last Update Date2021-04-29
Business Address
MICHAEL PHOENIX JAY HEFFERAN
4100 194TH ST SW STE 100
LYNNWOOD, WA 98036-4613
Phone number: 425-426-2761
Mailing Address
MICHAEL PHOENIX JAY HEFFERAN
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345