Provider Demographics
NPI:1053725663
Name:ANDREW, KRISTIN JUNE (BCBA)
Entity type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:JUNE
Last Name:ANDREW
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:MRS
Other - First Name:KRISTIN
Other - Middle Name:JUNE
Other - Last Name:EGBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA
Mailing Address - Street 1:11010 HARBOR HILL DR STE B272
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98332-8953
Mailing Address - Country:US
Mailing Address - Phone:425-409-3902
Mailing Address - Fax:
Practice Address - Street 1:1003 7TH AVE STE A
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033
Practice Address - Country:US
Practice Address - Phone:425-658-3016
Practice Address - Fax:425-658-3017
Is Sole Proprietor?:No
Enumeration Date:2014-06-12
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst