Individual
MIKAELA COSTALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27023 164TH AVE SE, COVINGTON, WA 98042-8241
(253) 639-7145
Mailing address
27023 164TH AVE SE, COVINGTON, WA 98042-8241
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
Other
Enumeration date
07/26/2018
Last updated
10/07/2022
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