Individual
BROOKLYN THAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
851 SE PIONEER WAY STE 201, OAK HARBOR, WA 98277-5789
(360) 499-3508
Mailing address
555 NW FAIRHAVEN DR, OAK HARBOR, WA 98277-4480
(360) 929-0145
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20414499
—
WA
Enumeration date
11/07/2025
Last updated
11/19/2025
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