Individual
DANIELLE MICHAELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
748 MARKET ST # 157, TACOMA, WA 98402-3737
(253) 325-4161
Mailing address
84 23RD AVE, MILTON, WA 98354-9346
(253) 921-6009
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-51521
WA
103K00000X
Behavior Analyst
BA61204959
WA
106E00000X
Assistant Behavior Analyst
LABA.AB.61136268
WA
106S00000X
Behavior Technician
CB61089152
WA
106S00000X
Behavior Technician
RBT-19-109485
WA
Other
Enumeration date
01/17/2021
Last updated
12/11/2023
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