Individual
KIMBERLEE RAE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3214 W MCGRAW ST STE 212, SEATTLE, WA 98199-3239
(206) 453-4882
Mailing address
1315 NW MIRAGE LN APT H101, SILVERDALE, WA 98383-7603
(509) 994-1534
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
CG 60483739
WA
Other
Enumeration date
02/20/2015
Last updated
02/20/2015
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