| Willetts Way Aba | |
|
10019 15th Pl Se Lake Stevens WA 98258-3830 | |
| (818) 401-5134 | |
| (833) 992-3922 |
| Full Name | Willetts Way Aba |
|---|---|
| Speciality | Behavior Analyst |
| Location | 10019 15th Pl Se, Lake Stevens, Washington |
| Authorized Official Name and Position | Wendy Willett York (FOUNDER/SENIOR BEHAVIOR ANALYST) |
| Authorized Official Contact | 8184015134 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willetts Way Aba 10019 15th Pl Se Lake Stevens WA 98258-3830 Ph: (818) 401-5134 | Willetts Way Aba 10019 15th Pl Se Lake Stevens WA 98258-3830 Ph: (818) 401-5134 |
| NPI Number | 1366295529 |
|---|---|
| Provider Enumeration Date | 04/08/2024 |
| Last Update Date | 04/16/2024 |
| Certification Date | 04/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366295529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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