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INSIGHTS TO AUTISM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. FARZEEN KHAWAJA BCBA (CLINICAL DIRECTOR)
(208) 964-9070
Entity
Organization

Contact information

Practice address
10130 W 17TH PL, KENNEWICK, WA 99338-1280
(208) 964-9070
Mailing address
10130 W 17TH PL, KENNEWICK, WA 99338-1280
(208) 964-9070

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BA60765020
DEPT. OF HEALTH
WA
Enumeration date
12/11/2023
Last updated
12/11/2023
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