Individual
KAYLEIGH LUTICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2621 BICKFORD AVE STE C, SNOHOMISH, WA 98290-1736
(520) 904-8666
Mailing address
2621 BICKFORD AVE STE C, SNOHOMISH, WA 98290-1736
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-47194
AZ
106S00000X
Behavior Technician
—
AZ
Other
Enumeration date
09/30/2019
Last updated
07/26/2021
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