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Adam Charles Dickenson

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

NPI number1316622376
StatusActive
Last updated in NPPESJun 19, 2023

Details

NPI
1316622376
Entity type
Individual (NPI-1)
Name
Adam Charles Dickenson
Sex
Male
Sole proprietor
No
Enumeration date
Jun 19, 2023
Certification date
Jun 18, 2023
Last updated
Jun 19, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1003 7th Ave Ste A
Kirkland, WA 98033-5779

Phone 425-658-3016

Mailing address

23511 56th Ave W Unit 520
Mountlake Terrace, WA 98043-5284

Phone 206-604-9960

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