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Simone Marcella Relyea

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

NPI number1164065009
StatusActive
Last updated in NPPESNov 17, 2020

Details

NPI
1164065009
Entity type
Individual (NPI-1)
Name
Simone Marcella Relyea
Sex
Female
Sole proprietor
No
Enumeration date
Oct 23, 2019
Certification date
Nov 17, 2020
Last updated
Nov 17, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes
172V00000X Community Health Worker–WA

Practice location

1345 22nd St Ne
Auburn, WA 98002-3442

Phone 253-833-5908

Mailing address

8811 S Tacoma Way Ste And206
Lakewood, WA 98499-4595

Phone 253-682-0320

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