Individual
CHRISTINE HARTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1420 NW GILMAN BLVD # 2604, ISSAQUAH, WA 98027-5394
(805) 668-8961
Mailing address
15810 SE 13TH ST, BELLEVUE, WA 98008-5017
(425) 443-1918
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
CB60774118
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB60774118
WASHINGTON DOH
WA
Enumeration date
01/16/2019
Last updated
01/16/2019
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