NPI 1043712060
Kamelya Jackson
Practice location
- Address
- 18311 Bothell Everett Hwy STE 260, Bothell, WA 98012-5233
- Phone
- (206) 437-5412
- Mailing address
- 18725 68th Ave NE APT C2, Kenmore, WA 98028-2675
Registered specialties
Behavior Analyst
Primary
Registry record
- NPI
- 1043712060
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 6 Mar 2018
- Record last updated
- 6 Mar 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.