Macy Alexandra Mikulak

NPI #1962984237 in Olympia, Washington

Provider Information

NPI Number: 1962984237
Entity Type: Individual
Name: Macy Alexandra Mikulak
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Sep 4, 2018
Last Updated: Sep 4, 2018

Practice Location

Address: 1800 COOPER POINT RD SW STE 21
City: Olympia
State: Washington
ZIP Code: 98502-1179
Phone: (360) 810-1541

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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