Individual
HAILEY GROOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 N HAMILTON ST, SPOKANE, WA 99207-2474
(866) 240-0808
Mailing address
1720 N HAMILTON ST, SPOKANE, WA 99207-2474
(866) 240-0808
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
AB61246187
WA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/09/2018
Last updated
11/27/2023
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