Individual
COLIN GABRIEL HAYWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Credential
RBT
Contact information
Practice address
8820 S HOSMER ST APT 405, TACOMA, WA 98444-1939
(253) 640-4765
Mailing address
8820 S HOSMER ST APT 405, TACOMA, WA 98444-1939
(253) 640-4765
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61520115
WA
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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