Individual
BRAD KIENITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
231 SE BARRINGTON DR, SUITE #203, OAK HARBOR, WA 98277-3200
(866) 240-0808
Mailing address
883 NW 2ND AVE, OAK HARBOR, WA 98277-4435
(360) 720-4816
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/03/2014
Last updated
07/30/2014
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