Individual
MS. CAITLIN JADE KONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6409 E MILL PLAIN BLVD, VANCOUVER, WA 98661-7454
(360) 718-8376
Mailing address
5813 NW 179TH ST, RIDGEFIELD, WA 98642-5807
(360) 241-2878
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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