Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | WA |
NPI | 1003288150 |
---|---|
Provider Name | Katie Hill |
First Address | Brier, WA 98036-8032 |
Second Address | Tukwila, WA 98188-2326 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2015 |
Last Update Date | 28/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
111524501 | (05) | WA |