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Carrie Ann Fosdick-Bertling

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

NPI number1164063533
StatusActive
Last updated in NPPESOct 7, 2019

Details

NPI
1164063533
Entity type
Individual (NPI-1)
Name
Carrie Ann Fosdick-Bertling
Sex
Female
Sole proprietor
No
Enumeration date
Oct 7, 2019
Last updated
Oct 7, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

6624 S 196th St Ste U107
Kent, WA 98032-3113

Phone 800-249-1266

Mailing address

1301 E Orangewood Ave
Anaheim, CA 92805-6807

Phone 800-249-1266

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