Individual
LAURA HEPPELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
4301 S PINE ST STE 505, TACOMA, WA 98409-7208
(253) 671-9909
Mailing address
6473 ILLAHEE RD NE, BREMERTON, WA 98311-9659
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-59760
—
106E00000X
Assistant Behavior Analyst
0-20-11108
CA
106S00000X
Behavior Technician
—
CA
Other
Enumeration date
08/01/2018
Last updated
06/01/2022
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