Individual
KAYLA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8725 S 212TH ST, KENT, WA 98031-1921
(425) 658-3017
Mailing address
16529 ALDERWOOD MALL PKWY UNIT B, LYNNWOOD, WA 98037-3202
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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