Individual
KATIE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 112TH AVE NE, SUITE 260E, BELLEVUE, WA 98004-2993
(425) 642-2153
Mailing address
PO BOX 1359, FALL CITY, WA 98024-1359
(661) 300-1806
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
WILSOKE076RJ
WA
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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