Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician | WA |
NPI | 1003378571 |
---|---|
Provider Name | Ms. Janice Ann Davey |
First Address | Auburn, WA 98002-5067 |
Second Address | Renton, WA 98059-3662 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2019 |
Last Update Date | 03/04/2019 |