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Carrie Bergen

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

NPI number1376216440
StatusActive
Last updated in NPPESJul 26, 2021

Details

NPI
1376216440
Entity type
Individual (NPI-1)
Name
Carrie Bergen
Sex
Female
Sole proprietor
No
Enumeration date
Jul 26, 2021
Certification date
Jul 26, 2021
Last updated
Jul 26, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1445 Nw Mall St Ste 2
Issaquah, WA 98027-7900

Phone 510-325-7883

Mailing address

1445 Nw Mall St Ste 2
Issaquah, WA 98027-7900

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