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Johnathan Jose Liporada

Behavior Technician in Maple Valley, WA. Individual provider (NPI-1).

NPI number1033799697
StatusActive
Last updated in NPPESApr 8, 2021

Details

NPI
1033799697
Entity type
Individual (NPI-1)
Name
Johnathan Jose Liporada
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 8, 2021
Certification date
Apr 8, 2021
Last updated
Apr 8, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

22415 Se 231st St Ste B103
Maple Valley, WA 98038-5002

Phone 425-906-4300

Mailing address

22415 Se 231st St Ste B103
Maple Valley, WA 98038-5002

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