Individual
HALEIGH SHARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
BASICS NW LLC, 320 SIXTH ST, RAYMOND, WA 98577
(360) 915-6868
Mailing address
PO BOX 859, RAYMOND, WA 98577-0859
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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