Individual
VICTOR KEODALAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
651 STRANDER BLVD STE 105, TUKWILA, WA 98188-2914
(206) 852-0911
Mailing address
9636 50TH AVE S, SEATTLE, WA 98118-5439
(206) 852-0911
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
CB61433009
WA
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
10/29/2025
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