Individual
MISS KELSI LOUISE WUSTERBARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBA
Contact information
Practice address
4227 S MERIDIAN STE C422, PUYALLUP, WA 98373-3603
(888) 362-3970
Mailing address
26217 48TH AVENUE CT E, SPANAWAY, WA 98387-6301
(253) 439-9691
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA61505555
WA
Other
Enumeration date
05/05/2022
Last updated
02/12/2024
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