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Individual

KAYCEE BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, BCBA

Contact information

Practice address
1132 N 91ST ST APT B, SEATTLE, WA 98103-2132
(775) 303-6587
Mailing address
1132 N 91ST ST APT B, SEATTLE, WA 98103-2132
(775) 303-6587

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-8640
NV

Other

Enumeration date
03/09/2017
Last updated
03/09/2017
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