NPI 1003288242

Kenner Potter

Practitioner Behavior Analyst Tacoma, WA

Practice location

Address: 9740 S Tacoma Way, Tacoma, WA 98499-4456
Phone: (253) 652-0353
Mailing address: 31701 50th Ave E, Eatonville, WA 98328-9268

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X

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Registry record

NPI: 1003288242
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Oct 2015
Record last updated: 28 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.