Individual
KELLY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1240 116TH AVE NE STE 102, BELLEVUE, WA 98004-3815
(206) 437-5412
Mailing address
321 5TH AVE APT 4, KIRKLAND, WA 98033-6223
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/05/2017
Last updated
07/05/2017
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