Individual
KATHERINE GILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8019 NE 13TH AVE, VANCOUVER, WA 98665-9604
(360) 609-0965
Mailing address
9452 SW MAPLEWOOD DR APT F64, TIGARD, OR 97223-6160
(971) 240-3442
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/14/2018
Last updated
01/02/2020
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