Individual
KENDRA MARIE WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3214 W MCGRAW ST STE 212, SEATTLE, WA 98199-3239
(206) 453-4882
Mailing address
17404 MERIDIAN E STE F125, PUYALLUP, WA 98375-6234
(253) 262-3409
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/22/2015
Last updated
03/27/2020
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