Individual
KEANNA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CBT
Contact information
Practice address
3615 MEADOW AVE N, RENTON, WA 98056-1525
(425) 243-3263
Mailing address
3615 MEADOW AVE N, RENTON, WA 98056-1525
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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