Individual
COLIN MICHAEL HAGGERTY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. ED, BCBA, LBA
Contact information
Practice address
7011 MCDOUGALL AVE, EVERETT, WA 98203-5460
(480) 242-1275
Mailing address
2450 AURORA AVE N APT 303, SEATTLE, WA 98109-2269
(858) 952-9609
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA61128062
WA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/13/2018
Last updated
11/12/2021
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