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Individual

KASSANDRA MARJORIE MATVEEV

Active
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Individual

KASSANDRA MARJORIE MATVEEV

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA.BA.70123612
WA
106E00000X
Assistant Behavior Analyst
Primary
LABA.AB.70034415
WA
106S00000X
Behavior Technician
Primary
RBT-22-236444
WA

Other

Enumeration date
04/24/2024
Last updated
04/30/2026
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