Individual
KELLI MISCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
9901 NE 7TH AVE, SUITE C-116, VANCOUVER, WA 98685-4523
(360) 571-2432
Mailing address
21600 OXNARD ST, SUITE 1800, WOODLAND HILLS, CA 91367-4976
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
17-28106
WA
106S00000X
Behavior Technician
BACB362289
WA
Other
Enumeration date
04/26/2017
Last updated
02/14/2021
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