Jessica Lake
NPI #1962938274 in Bellevue, Washington
Provider Information
- NPI Number
- 1962938274
- Entity Type
- Individual
- Name
- Jessica Lake
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- May 5, 2017
- Last Updated
- May 5, 2017
Practice Location
- Address
- 14434 NE 8TH ST
- Address 2
- 300
- City
- Bellevue
- State
- Washington
- ZIP Code
- 98007-4146
- Phone
- (425) 502-5060
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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