Individual
HANNAH GEORGENE PENDERGRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
231 SE BARRINGTON DR STE 203, OAK HARBOR, WA 98277-3200
(360) 240-0022
Mailing address
231 SE BARRINGTON DR STE 203, OAK HARBOR, WA 98277-3200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
CB61078834
WA
106S00000X
Behavior Technician
Primary
CB61078834
WA
106S00000X
Behavior Technician
Primary
RBT-25-439498
WA
175T00000X
Peer Specialist
CG61408653
WA
Other
Enumeration date
12/02/2020
Last updated
06/17/2026
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