Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1003152992 |
---|---|
Provider Name | Kaitlin Marie Kloes Greeny |
First Address | Seattle, WA 98105-4660 |
Second Address | Seattle, WA 98105-4660 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2012 |
Last Update Date | 17/03/2018 |