Individual
TARA HIXSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19401 40TH AVE W, LYNNWOOD, WA 98036-4612
(657) 444-9002
Mailing address
2312 3RD AVE, UNIT 204, SEATTLE, WA 98121-1700
(949) 527-2231
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA61065427
WA
106S00000X
Behavior Technician
CG 60725110
WA
Other
Enumeration date
05/10/2016
Last updated
04/11/2024
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