SearchWashingtonBehavior Technician

Danielle Southern, CB

NPI 1104473222 · on the registry since 2019 · sole proprietor

Practice

Address
1420 Nw Gilman Blvd # 2604
Issaquah, WA 98027
Phone
(805) 668-8961
Fax
(208) 416-6922
Clinicians at this address
5

Registry record

Primary taxonomy
Behavior Technician
106S00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-08-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington