Individual
MARY KATHERINE TINSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
11415 NE 128TH ST STE 40, KIRKLAND, WA 98034-6315
(425) 307-1815
Mailing address
17325 13TH AVE SE, BOTHELL, WA 98012-5110
(425) 307-1815
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-04-1789
BACB
—
Enumeration date
02/25/2015
Last updated
02/25/2015
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