Justin Brusasco

NPI #1154890465 in Mountlake Terrace, Washington

Provider Information

NPI Number: 1154890465
Entity Type: Individual
Name: Justin Brusasco
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Nov 15, 2018
Last Updated: Nov 15, 2018

Practice Location

Address: 6505 218TH ST SW STE 9
City: Mountlake Terrace
State: Washington
ZIP Code: 98043-2135
Phone: (206) 388-0544

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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