Organization
WICKLER BEHAVIORAL CONSULTING CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARLEE D'ANN WICKLER MD (OWNER)
(425) 246-9784
Entity
Organization
Contact information
Practice address
632 182ND ST SE, BOTHELL, WA 98012-6275
(425) 246-9784
(425) 361-2952
Mailing address
632 182ND ST SE, BOTHELL, WA 98012-6275
(425) 246-9784
(425) 361-2952
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CAAR.CG.60659106
WA
103K00000X
Behavior Analyst
1-11-8640
WA
103K00000X
Behavior Analyst
Primary
1-13-14776
WA
106S00000X
Behavior Technician
RBT-16-20417
WA
106S00000X
Behavior Technician
RBT-16-23299
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N/A
PRIVATE INSURANCE
—
Enumeration date
02/13/2017
Last updated
01/31/2024
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