Individual
MRS. KELSEY FUERST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9901 NE 7TH AVE, VANCOUVER, WA 98685-4523
(360) 571-2432
Mailing address
9901 NE 7TH AVE, VANCOUVER, WA 98685-4523
(360) 571-2432
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201510519
—
WA
Enumeration date
04/17/2019
Last updated
04/17/2019
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