Individual
KAYLEE FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11909 N DIVISION ST STE 102, SPOKANE, WA 99218-1903
(509) 213-1442
Mailing address
705 W BELLWOOD DR APT 63705W, SPOKANE, WA 99218-2849
(509) 655-0500
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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