Individual
MRS. ABIGAIL G HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19909 BALLINGER WAY NE, SHORELINE, WA 98155-1257
(206) 717-4770
Mailing address
810 DEXTER AVE N APT 432, SEATTLE, WA 98109-4388
(330) 760-4200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-56331
OH
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/18/2019
Last updated
12/28/2021
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