Footprints Applied Behavior Analysis Llc | |
19203 71st Ave E Spanaway WA 98387-5039 | |
(253) 402-7911 | |
Not Available |
Full Name | Footprints Applied Behavior Analysis Llc |
---|---|
Speciality | Behavior Analyst |
Location | 19203 71st Ave E, Spanaway, Washington |
Authorized Official Name and Position | Yegennalyn Millanes (OWNER) |
Authorized Official Contact | 6192191963 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Footprints Applied Behavior Analysis Llc 19203 71st Ave E Spanaway WA 98387-5039 Ph: (253) 402-7911 | Footprints Applied Behavior Analysis Llc 19203 71st Ave E Spanaway WA 98387-5039 Ph: (253) 402-7911 |
NPI Number | 1629773635 |
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Provider Enumeration Date | 03/31/2023 |
Last Update Date | 03/31/2023 |
Certification Date | 03/31/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629773635 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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