Individual
CASSIDY KAY WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11415 NE 128TH ST STE 40, KIRKLAND, WA 98034-6315
(425) 307-1815
(425) 533-2597
Mailing address
7110 192ND PL SW, LYNNWOOD, WA 98036-5092
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/14/2017
Last updated
06/14/2017
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