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Individual

GRACE GAYLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6100 219TH ST SW, MOUNTLAKE TERRACE, WA 98043-2222
(424) 320-3134
(818) 449-0994
Mailing address
1451 RIVER PARK DR STE 285, SACRAMENTO, CA 95815-4522
(818) 345-2345
(818) 449-0994

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-15-20891
CA
103K00000X
Behavior Analyst
Primary
WA

Other

Enumeration date
01/20/2016
Last updated
12/16/2020
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