Individual
KELLIE HARUKO KUMASAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
ATTN: BEHAVIORAL HEALTH WORKS 6624 S 196TH ST., SUITE U-107, KENT, WA 98032
(800) 249-1266
Mailing address
1301 E ORANGEWOOD AVE, ANAHEIM, CA 92805-6807
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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