Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician | WA |
NPI | 1003322280 |
---|---|
Provider Name | Cindi Hammond |
First Address | Olympia, WA 98506-3091 |
Second Address | Olympia, WA 98506-3091 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/12/2017 |
Last Update Date | 24/12/2017 |