Individual
KRISTIN NICOLE WILKINSON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA, LBA
Contact information
Practice address
1800 NW 167TH PL STE 115, BEAVERTON, OR 97006-4846
(425) 830-6397
Mailing address
1800 NW 167TH PL STE 115, BEAVERTON, OR 97006-4846
(425) 830-6397
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
ABA-B-10253301
OR
103K00000X
Behavior Analyst
BA60758885
WA
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/20/2013
Last updated
03/12/2025
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