Individual
ASHLEY KAYREN-WALTERS MIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6624 S 196TH ST STE 107, KENT, WA 98032-3113
(800) 249-1266
Mailing address
6624 S 196TH ST STE 107, KENT, WA 98032-3113
(800) 249-1266
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/16/2019
Last updated
05/16/2019
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