Most Relevant Information
Provider Data
| NPI Number: | 1003209453 |
| Provider Name: | PAULINE BASA |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/10/2015 |
| Last Updated: | 03/10/2015 |
Provider Practice Location
12040 98TH AVE NE STE 204
KIRKLAND
WA
980344217
Practice Location Phone/Fax
| Phone: | 4256583016 |
| Fax: |
Provider Mailing Location
12040 98TH AVE NE STE 204
KIRKLAND
WA
980344217
Provider Mailing Phone/Fax
| Phone: | 4256583016 |
| Fax: |