Individual
KOREY MICAH JEAN CECSARINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18422 103RD AVE NE, BOTHELL, WA 98011-3410
(425) 949-0801
Mailing address
9218 4TH ST SE, LAKE STEVENS, WA 98258-3304
(425) 923-6763
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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