Individual
ALICIA HARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CBT
Contact information
Practice address
3231 WILLAMETTE DR NE STE C, LACEY, WA 98516-1378
(425) 359-7938
Mailing address
3231 WILLAMETTE DR NE STE C, LACEY, WA 98516-1378
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61612234
WA
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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