Letha Gillisse

NPI #1255808606 in Bellevue, Washington

Provider Information

NPI Number: 1255808606
Entity Type: Individual
Name: Letha Gillisse
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Oct 24, 2018
Last Updated: Oct 24, 2018

Practice Location

Address: 1800 112TH AVE NE STE 260E
City: Bellevue
State: Washington
ZIP Code: 98004-2937
Phone: (206) 388-0544

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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