Individual
KYLA LARISSA TEJERO CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1455 NW LEARY WAY STE 400, SEATTLE, WA 98107-5138
(206) 683-4743
Mailing address
1108 NW MARKET ST APT 8, SEATTLE, WA 98107-3701
(206) 683-4743
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/17/2017
Last updated
12/03/2020
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