Individual
KAYLA MICHELLE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
157 S HOWARD ST STE 310, SPOKANE, WA 99201-4421
(509) 494-9191
Mailing address
829 W FAIRVIEW AVE, SPOKANE, WA 99205-3304
(509) 954-5458
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
61417944
WA
Other
Enumeration date
04/21/2023
Last updated
04/21/2023
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