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Individual
KILIEMAH LANE
Active
Individual
KILIEMAH LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
CB61622795
WA
106S00000X
Behavior Technician
Primary
RBT-24-394649
WA
Other
Enumeration date
09/27/2024
Last updated
07/22/2026
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