Individual
TINA TARVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, CCC-SLP
Contact information
Practice address
1104 DONOVAN AVE, BELLINGHAM, WA 98225-7325
(425) 429-4793
Mailing address
1104 DONOVAN AVE, BELLINGHAM, WA 98225-7325
(360) 393-5746
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-20651
—
235Z00000X
Speech-Language Pathologist
LL 00004760
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LL 00004760
DEPARTMENT OF HEALTH
WA
Enumeration date
06/05/2014
Last updated
06/29/2016
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