Individual
KAYLA DIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13333 NE BEL RED RD STE 100, BELLEVUE, WA 98005-2332
(619) 795-9925
Mailing address
8885 RIO SAN DIEGO DR STE 340, SAN DIEGO, CA 92108-1669
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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