Gaudette, Ivie Michelle

Gaudette, Ivie Michelle is an individual health care provider with primary practice located at 1570 Wilmington Dr Ste 220 , Dupont WA 98327-8773. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Gaudette, Ivie Michelle can be contacted via phone (206) 453-4882.

Contact Information

Primary practice address
1570 Wilmington Dr Ste 220 Dupont WA 98327-8773
Phone: (206) 453-4882
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-19-101832 Washington

Profile Details

NPI number 1295379063
LBN Legal business name Gaudette, Ivie Michelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2019
Last updated Nov 4th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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