Individual
MICHELLE LANDOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11415 NE 128TH ST STE 40, KIRKLAND, WA 98034-6315
(425) 307-1815
Mailing address
11415 NE 128TH ST STE 40, KIRKLAND, WA 98034-6315
(425) 307-1815
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
WA
Other
Enumeration date
03/06/2015
Last updated
03/06/2015
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