Most Relevant Information
Provider Data
| NPI Number: | 1003643263 |
| Provider Name: | ANASZTAZIA SZOFIA ROSALEEN KISS |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/19/2024 |
| Last Updated: | 09/19/2024 |
Provider Practice Location
1445 NW MALL ST STE 2
ISSAQUAH
WA
980277900
Practice Location Phone/Fax
| Phone: | 4256518117 |
| Fax: |
Provider Mailing Location
1445 NW MALL ST STE 2
ISSAQUAH
WA
980277900
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |