Individual
NICOLE LOUISE SAIZ-DELEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 KERN WAY, YAKIMA, WA 98902-6340
(509) 574-3200
Mailing address
1207 WHATCOM ST, UNION GAP, WA 98903-1244
(509) 949-6291
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
CG60601642
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG 60601642
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
10/09/2015
Last updated
10/09/2015
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