Madison Charvet Blake I
Behavior Technician in Bothell, WA. Individual provider (NPI-1).
NPI number1336736610
StatusActive
Last updated in NPPESDec 21, 2020
Details
- NPI
- 1336736610
- Entity type
- Individual (NPI-1)
- Name
- Madison Charvet Blake I
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 21, 2020
- Certification date
- Dec 21, 2020
- Last updated
- Dec 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | WA | Yes |
Practice location
19204 N Creek Pkwy Ste 110Bothell, WA 98011-8009
Phone 818-241-6780 · Fax 818-241-6780
Mailing address
1055 E Colorado Blvd Ste 560Pasadena, CA 91106-2380
Phone 818-241-6780 · Fax 818-241-6853
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All 195 Behavior Technician providers in Bothell · All 2,083 providers in Bothell
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