Kiarra Yaneth Marie Blakely-Russell

NPI #1194207217 in Lakewood, Washington

Provider Information

NPI Number: 1194207217
Entity Type: Individual
Name: Kiarra Yaneth Marie Blakely-Russell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Enumeration Date: Sep 5, 2018
Last Updated: Sep 5, 2018

Practice Location

Address: 9320 112TH STREET CT SW
City: Lakewood
State: Washington
ZIP Code: 98498-2830
Phone: (253) 232-6079

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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