Donavan Trae Wesley

NPI #1699588657 in Dupont, Washington

Provider Information

NPI Number: 1699588657
Entity Type: Individual
Name: Donavan Trae Wesley
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jan 31, 2025
Last Updated: Jan 31, 2025

Practice Location

Address: 1570 WILMINGTON DR STE 220
City: Dupont
State: Washington
ZIP Code: 98327-8773
Phone: (206) 453-4882

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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