Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 61259482 | WA |
NPI | 1003125576 |
---|---|
Provider Name | Mrs. Bernadette Jambaro Gipaya |
First Address | Port Orchard, WA 98366-2527 |
Second Address | Seattle, WA 98101-1257 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2010 |
Last Update Date | 02/02/2022 |