Individual
KAITLIN TAYLOR ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-6200
Mailing address
750 SW ORCAS ST, OAK HARBOR, WA 98277-7222
(210) 363-9507
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
03/12/2021
Last updated
06/03/2021
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