Individual
DANNA ALEX KONONOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27121 174TH PL SE STE 105, COVINGTON, WA 98042-4939
(425) 399-3245
Mailing address
50 11TH AVE N, ALGONA, WA 98001-6517
(253) 993-8120
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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