Individual
PAULINE BASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12040 98TH AVE NE STE 204, KIRKLAND, WA 98034-4217
(425) 658-3016
Mailing address
12040 98TH AVE NE STE 204, KIRKLAND, WA 98034-4217
(425) 658-3016
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/10/2015
Last updated
03/10/2015
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