Individual
KAYLA ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
7412 NEWCASTLE GOLF CLUB RD, NEWCASTLE, WA 98059-9141
(425) 954-7243
Mailing address
8606 35TH AVE NE APT 118, SEATTLE, WA 98115-3678
(253) 590-6659
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
UBI - 603 295 703
WA
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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