Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | RN60252029 | WA |
NPI | 1104498542 |
---|---|
Provider Name | Ms. Deborah L Pope |
First Address | Tacoma, WA 98406-5419 |
Second Address | Tacoma, WA 98406-5419 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2021 |
Last Update Date | 14/07/2021 |