Mikayla Willis
Behavior Technician in Oak Harbor, WA. Individual provider (NPI-1).
NPI number1669200044
StatusActive
Last updated in NPPESJul 25, 2024
Details
- NPI
- 1669200044
- Entity type
- Individual (NPI-1)
- Name
- Mikayla Willis
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 25, 2024
- Certification date
- Jul 25, 2024
- Last updated
- Jul 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | CB61216057 | WA | Yes |
Practice location
851 Se Pioneer Way Ste 201Oak Harbor, WA 98277-5789
Phone 360-972-3612
Mailing address
700 32nd St Unit A309Bellingham, WA 98225-6924
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