Individual
MS. CAITLIN RAEANNA DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
2310 130TH AVE NE, STE 103 BUILDING B, BELLEVUE, WA 98005-1799
(425) 882-8868
Mailing address
706 N 72ND ST, SEATTLE, WA 98103-5102
(503) 957-5188
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-20859
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/21/2011
Last updated
11/23/2016
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