Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | BA61031935 | WA |
NPI | 1003449778 |
---|---|
Provider Name | Emily Anne Moser |
First Address | Seattle, WA 98122-2846 |
Second Address | Seattle, WA 98105-4341 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2020 |
Last Update Date | 10/08/2020 |