Luis E Eduardo Ledesma Colchado
Behavior Technician in Lynnwood, WA. Individual provider (NPI-1).
NPI number1982425013
StatusActive
Last updated in NPPESOct 21, 2024
Details
- NPI
- 1982425013
- Entity type
- Individual (NPI-1)
- Name
- Luis E Eduardo Ledesma Colchado
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 21, 2024
- Certification date
- Oct 21, 2024
- Last updated
- Oct 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
19401 40th Ave W Ste 100Lynnwood, WA 98036-5600
Phone 657-444-9002
Mailing address
19401 40th Ave W Ste 100Lynnwood, WA 98036-5600
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