Individual
MISS KELLIE CHRISTINE HOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
1736 WASHINGTON AVE, ENUMCLAW, WA 98022-3207
(253) 347-9003
Mailing address
600 STEWART ST STE 300, SEATTLE, WA 98101-1257
(855) 832-6727
(772) 675-9100
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA.BA.61607964
WA
Other
Enumeration date
09/23/2024
Last updated
10/04/2024
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