Individual
MORGAN MICHAELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7611 NE 165TH ST, KENMORE, WA 98028-4477
(971) 219-5562
Mailing address
185 SIERRA DR APT 215, WALNUT CREEK, CA 94596-4955
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
201337841
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962726752
FIRSTSTEPS FOR KIDS, INC.
—
Enumeration date
03/17/2016
Last updated
07/06/2020
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