Individual
COREY ELIZABETH HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
218 S 38TH ST, TACOMA, WA 98418-7807
(206) 313-8840
Mailing address
4815 S CHICAGO ST, SEATTLE, WA 98118-4115
(206) 214-7317
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111524501
—
WA
Enumeration date
01/02/2018
Last updated
01/02/2018
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