Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1013267509 |
---|---|
Provider Name | Ashley Justine Rizzuto |
First Address | Renton, WA 98059 |
Second Address | Renton, WA 98059-4092 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2012 |
Last Update Date | 07/02/2017 |