Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | ||
N | 106S00000X | Behavior Technician | WA |
NPI | 1003265711 |
---|---|
Provider Name | Andrew James Schmokel |
First Address | Olympia, WA 98502-6810 |
Second Address | Seattle, WA 98199-3239 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2016 |
Last Update Date | 29/11/2016 |