Individual
MARIA KOSTANDINA GIAKOUMATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15445 53RD AVE S STE 110, TUKWILA, WA 98188-2326
(206) 313-8840
Mailing address
12865 SE 223RD PL, KENT, WA 98031-3962
(253) 736-4077
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111524501
—
WA
Enumeration date
04/27/2017
Last updated
04/27/2017
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