Individual
CARLEY HUMPHERYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3231 WILLAMETTE DR NE STE C, LACEY, WA 98516-1378
(360) 790-2727
Mailing address
6901 38TH AVE SE, LACEY, WA 98503-3967
(360) 970-5724
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BAC61639406
WA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/03/2022
Last updated
12/06/2024
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