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Individual

KANEISHA BUTTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
14434 NE 8TH ST STE 2, BELLEVUE, WA 98007-4146
(425) 223-5126
Mailing address
4600 16TH ST E APT G201, FIFE, WA 98424-2698
(253) 398-5747

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
12/19/2017
Last updated
12/19/2017
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