Individual
KATRINA NICOLE BACKSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2110 IRON ST, BELLINGHAM, WA 98225-4123
(360) 930-6063
Mailing address
2110 IRON ST, BELLINGHAM, WA 98225-4123
(360) 930-6063
(877) 205-5744
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
WA
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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