Riley Thomas Roetcisoender
Behavior Technician in Bellevue, WA. Individual provider (NPI-1).
NPI number1558093161
StatusActive
Last updated in NPPESJun 30, 2022
Details
- NPI
- 1558093161
- Entity type
- Individual (NPI-1)
- Name
- Riley Thomas Roetcisoender
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 30, 2022
- Certification date
- Jun 30, 2022
- Last updated
- Jun 30, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1722 138th Pl NeBellevue, WA 98005-2367
Phone 425-326-1545
Mailing address
300 International Pkwy Ste 200Lake Mary, FL 32746-5028
Phone 866-610-0580
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