Individual
MRS. KATHERINE E STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
4173 GREENFISH DR APT C, SILVERDALE, WA 98315-9474
(406) 465-1729
Mailing address
4173 GREENFISH DR APT C, SILVERDALE, WA 98315-9474
(406) 465-1729
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/10/2020
Last updated
10/10/2020
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