Malik Andre Malutama
Malik Andre Malutama is a Behavior Technician in Vancouver, Washington. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
9901 NE 7th Ave Ste C116Vancouver, WA 98685-4528
Phone: (360) 571-2432
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1932952132 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 8, 2024 |
| Last updated in NPPES | April 8, 2024 |
| Certification date | April 8, 2024 |
| Mailing address | 3909 Clark Ave # 98661, Vancouver, WA 98661-6013 |
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