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Organization

KADIANT PNW LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRENDA KULIK (CONTRACTING SPECIALIST)
(732) 375-0420
Entity
Organization

Contact information

Practice address
720 SE 160TH AVE, STE 103 #154, VANCOUVER, WA 98684-8912
(866) 523-4268
Mailing address
850 TOWBIN AVE, LAKEWOOD, NJ 08701-5928

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
09/29/2023
Last updated
09/29/2023
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