Individual
ASHLEY KAYANNA WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LABA
Contact information
Practice address
1510 140TH AVE NE STE 100, BELLEVUE, WA 98005-4572
(425) 543-7382
Mailing address
1510 140TH AVE NE STE 100, BELLEVUE, WA 98005-4572
(425) 543-7382
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
AB612298905
WA
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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