Jack Gregory Larsen
Jack Gregory Larsen is a Behavior Technician in Tacoma, Washington. Licensed in Washington. Registered with an NPI since 2019.
- Licensed in
- WA
- In the registry since
- 2019
Practice location Address checks out
4412 6th AveTacoma, WA 98406-3500
Phone: (253) 285-7180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (WA) |
|---|
Record details
| NPI number | 1619526928 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 9, 2019 |
| Last updated in NPPES | September 9, 2019 |
| Mailing address | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807 |
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