Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1003380197 |
---|---|
Provider Name | Cara Ruth Motroni |
First Address | Mountlake Terrace, WA 98043-2853 |
Second Address | Mountlake Terrace, WA 98043-2135 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2019 |
Last Update Date | 11/01/2019 |