Individual
GINA DAMILANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18901 61ST AVE NE, KENMORE, WA 98028-8729
(209) 986-7941
Mailing address
18901 61ST AVE NE, KENMORE, WA 98028-8729
(209) 986-7941
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB390492
WA
Other
Enumeration date
03/12/2020
Last updated
11/22/2024
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