Individual provider · Type 1 NPI

Kyrsten Deann Black

Behavior Analyst · Raymond, WA

NPI number 1043972623 Active

Practice location

320 6th St
Raymond, WA 98577-2503

Mailing address

PO Box 859
Raymond, WA 98577-0859

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000XNone listed

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1043972623

Kyrsten Deann Black's National Provider Identifier is 1043972623, issued on Oct 11, 2021. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Raymond, WA. The record was last updated on Sep 11, 2025.