Individual
NICOLE VITKAUSKAS VITKAUSKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 ALKI AVE SW APT 204, SEATTLE, WA 98116-2867
(206) 261-0117
Mailing address
2700 ALKI AVE SW APT 204, SEATTLE, WA 98116-2867
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-5846
MA
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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