Holly L Bayless Da Costa
NPI #1003474339 in Tacoma, Washington
Provider Information
- NPI Number
- 1003474339
- Entity Type
- Individual
- Name
- Holly L Bayless Da Costa
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jun 2, 2019
- Last Updated
- Jun 2, 2019
Practice Location
- Address
- 3562 A ST
- City
- Tacoma
- State
- Washington
- ZIP Code
- 98418-7902
- Phone
- (253) 376-4636
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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