Most Relevant Information
Provider Data
| NPI Number: | 1003542283 |
| Provider Name: | CHRISTOPHER KANTOLA STEVENS |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/28/2022 |
| Last Updated: | 07/28/2022 |
Provider Practice Location
3704 N 35TH ST
TACOMA
WA
984076033
Practice Location Phone/Fax
| Phone: | 2065806940 |
| Fax: |
Provider Mailing Location
6338 51ST AVE S
SEATTLE
WA
981182861
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |