Individual
KIERA ILEEN ETTIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 NE 136TH AVE STE 220, VANCOUVER, WA 98684-6951
(360) 608-1753
Mailing address
15600 NE 32ND ST, VANCOUVER, WA 98682-8449
(360) 608-1753
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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