| Pursuing Potential | |
|
21917 78th Pl W Edmonds WA 98026-7877 | |
| (425) 420-7710 | |
| (214) 593-5311 |
| Full Name | Pursuing Potential |
|---|---|
| Speciality | Behavior Analyst |
| Location | 21917 78th Pl W, Edmonds, Washington |
| Authorized Official Name and Position | Michael Whelan Wallach (OWNER) |
| Authorized Official Contact | 4254207710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pursuing Potential 21917 78th Pl W Edmonds WA 98026-7877 Ph: (425) 420-7710 | Pursuing Potential 21917 78th Pl W Edmonds WA 98026-7877 Ph: (425) 420-7710 |
| NPI Number | 1881126423 |
|---|---|
| Provider Enumeration Date | 04/02/2017 |
| Last Update Date | 04/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881126423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (Washington) | Primary |
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