Individual
MISS KAYLIAH D BECKNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 SENECA ST STE 107, SEATTLE, WA 98101-3265
(425) 390-4062
Mailing address
1600 S LANE ST, SEATTLE, WA 98144-2810
(206) 682-2371
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61307154
WA
171M00000X
Case Manager/Care Coordinator
BHA.FS.60873463
WA
171M00000X
Case Manager/Care Coordinator
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Other
Enumeration date
03/19/2022
Last updated
06/24/2024
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