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Contact Information

KELLIE M MANN
1909 214TH ST SE STE 300
BOTHELL, WA98021-4418
 Phone: 425-412-7200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
 

Behavior Analyst

103K00000X
 

Developmental Therapist

222Q00000X
Indicates primary specialty

NPI Profile & details for KELLIE M MANN · (Female)

NPI Number 1396180808
Status Active
Credentials
Entity Individual
Enumeration date 05/10/2013
Last updated 05/28/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • WA License # LH61457270
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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