Individual
MICHELLE RENEE SISTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
13817 9TH PL S, BURIEN, WA 98168-3640
(260) 499-5997
Mailing address
13817 9TH PL S, BURIEN, WA 98168-3640
(260) 499-5997
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
CG 60275510
WA
Other
Enumeration date
04/08/2013
Last updated
12/14/2023
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