Individual
KATE DISNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
2358 S 5TH ST, LEWIS MCCHORD, WA 98433-1035
(757) 876-5965
Mailing address
2358 S 5TH ST, LEWIS MCCHORD, WA 98433-1035
(757) 876-5965
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-48304
TX
Other
Enumeration date
12/02/2016
Last updated
09/03/2021
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