Individual
HAILEY ANN LUCATORTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6409 E MILL PLAIN BLVD, VANCOUVER, WA 98661-7454
(360) 718-8376
Mailing address
11024 NE 89TH PL, VANCOUVER, WA 98662-1488
(971) 331-4194
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61395331
WA
Other
Enumeration date
11/07/2022
Last updated
06/25/2025
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