Individual
ELIZABETH KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3214 W MCGRAW ST STE 212, SEATTLE, WA 98199-3239
(206) 453-4882
Mailing address
3214 W MCGRAW ST STE 212, SEATTLE, WA 98199-3239
(206) 453-4882
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11313843
WA
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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