GWENDOLYN LISLE

Behavior Technician

Active Individual
NPI: 1265028773

Practice Address

8282 28TH CT NE STE A
Lacey, WA 98516

Phone: (360) 915-6868

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1265028773 is the National Provider Identifier for GWENDOLYN LISLE, a Behavior Technician provider located in Lacey, WA. This NPI was enumerated on December 18, 2020.
GWENDOLYN LISLE practices at 8282 28TH CT NE STE A, Lacey, WA 98516.

Quick Facts

NPI
1265028773
Type
Individual
Enumerated
Dec 18, 2020
Last Updated
Dec 18, 2020

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