Individual
HAILLEY RENE LOOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
18422 103RD AVE NE, BOTHELL, WA 98011-3410
(425) 949-0801
Mailing address
19143 15TH AVE NW, SHORELINE, WA 98177-2723
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
61638965
WA
106S00000X
Behavior Technician
—
WA
Other
Enumeration date
04/19/2023
Last updated
01/09/2025
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