Peter Idoga

NPI #1083236517 in Burien, Washington

Provider Information

NPI Number: 1083236517
Entity Type: Individual
Name: Peter Idoga
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: May 6, 2020
Last Updated: May 6, 2020

Practice Location

Address: 1033 SW 152ND ST
City: Burien
State: Washington
ZIP Code: 98166-1845
Phone: (206) 242-1698

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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