Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-21-47307 | WA |
NPI | 1003337338 |
---|---|
Provider Name | Erin Taylor |
First Address | Kirkland, WA 98033-5779 |
Second Address | Kirkland, WA 98033-5779 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2017 |
Last Update Date | 29/09/2021 |