Individual
SHANE EUGENE KASKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HOMECARE AID
Contact information
Practice address
8117 STONE AVE N, SEATTLE, WA 98103-4414
(425) 760-4880
Mailing address
23723 3RD AVE SE, BOTHELL, WA 98021-8710
(425) 760-4880
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
KASKASE097P0
WA
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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