| Empowered Aba | |
|
9307 N Lake Dr Sw Lakewood WA 98498-1135 | |
| (253) 370-8173 | |
| Not Available |
| Full Name | Empowered Aba |
|---|---|
| Speciality | Behavior Analyst |
| Location | 9307 N Lake Dr Sw, Lakewood, Washington |
| Authorized Official Name and Position | Jesika Miller (BOARD CERTIFIED BEHAVIOR ANALYST) |
| Authorized Official Contact | 2533444390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowered Aba 9307 N Lake Dr Sw Lakewood WA 98498-1135 Ph: (253) 370-8173 | Empowered Aba 9307 N Lake Dr Sw Lakewood WA 98498-1135 Ph: (253) 370-8173 |
| NPI Number | 1477010825 |
|---|---|
| Provider Enumeration Date | 02/21/2019 |
| Last Update Date | 05/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477010825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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