Individual
MICHELLE S OLSUFKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
851 SE PIONEER WAY STE 201, OAK HARBOR, WA 98277-5789
(360) 610-1620
Mailing address
123 S 10TH ST, MOUNT VERNON, WA 98274-4015
(360) 610-1620
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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