Sierra Luster
Behavior Technician in Vancouver, WA. Individual provider (NPI-1).
NPI number1982191938
StatusActive
Last updated in NPPESApr 16, 2018
Details
- NPI
- 1982191938
- Entity type
- Individual (NPI-1)
- Name
- Sierra Luster
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 16, 2018
- Last updated
- Apr 16, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | CB60833942 | WA | Yes |
Practice location
8019 Ne 13th AveVancouver, WA 98665-9604
Phone 360-984-3131
Mailing address
8019 Ne 13th AveVancouver, WA 98665-9604
Phone 360-984-3131
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