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Individual

MIKA AOYAMA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
B.ED.

Contact information

Practice address
15445 53RD AVE S, SUITE#110, TUKWILA, WA 98188-2326
(206) 313-8840
Mailing address
4401 NE 75TH ST, SEATTLE, WA 98115-5124
(206) 409-9054

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
111524501
WA
Enumeration date
09/02/2016
Last updated
09/02/2016
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