Beau Michael Klum
Behavior Technician in Vancouver, WA. Individual provider (NPI-1).
NPI number1104714765
StatusActive
Last updated in NPPESJun 24, 2025
Details
- NPI
- 1104714765
- Entity type
- Individual (NPI-1)
- Name
- Beau Michael Klum
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 24, 2025
- Certification date
- Jun 24, 2025
- Last updated
- Jun 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
120 Ne 136th Ave Ste 220Vancouver, WA 98684-6951
Phone 360-952-7060
Mailing address
996 Royal Marco WayMarco Island, FL 34145-1829
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