Individual
KAYLEE MADISON DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4201 MERIDIAN ST, BELLINGHAM, WA 98226-5532
(360) 305-3275
Mailing address
6069 BEULAH DR, FERNDALE, WA 98248-9315
(360) 739-9749
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61482490
WA
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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