Jessica Ann Ewalt
Assistant Behavior Analyst
1305 Tacoma Ave S Ste 305
Tacoma
, Washington 98402-1903
Jessica Ann Ewalt
Assistant Behavior Analyst
1305 Tacoma Ave S Ste 305
Tacoma
, Washington 98402-1903
(253) 396-5800
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About
Features
Specialties
- Assistant Behavior Analyst
Languages spoken
- English
Location
First Address
- Jessica Ann Ewalt
- 1305 Tacoma Ave S Ste 305
- Tacoma, WA
- Zip : 98402-1903
- Phone : (253) 396-5800
Second Address
- Jessica Ann Ewalt
- 1305 Tacoma Ave S Ste 305
- Tacoma, WA
- Zip : 98402-1903
- Phone : (253) 396-5800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | WA |
National Provider Identifier
| NPI | 1134787773 |
|---|---|
| Provider Name | Jessica Ann Ewalt |
| First Address | Tacoma, WA 98402-1903 |
| Second Address | Tacoma, WA 98402-1903 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/05/2019 |
| Last Update Date | 29/05/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.