Most Relevant Information
Provider Data
| NPI Number: | 1003452020 |
| Provider Name: | AIDAN MCENTIRE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | CB61017733 |
Most Important Dates
| Enumeration Date: | 11/25/2019 |
| Last Updated: | 11/25/2019 |
Provider Practice Location
12729 NORTHUP WAY STE 23
BELLEVUE
WA
980051935
Practice Location Phone/Fax
| Phone: | 8667278274 |
| Fax: |
Provider Mailing Location
2550 N HOLLYWOOD WAY STE 102
BURBANK
CA
915055031
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |