Caleb Michael Hathaway

NPI #1093212110 in Lynnwood, Washington

Provider Information

NPI Number: 1093212110
Entity Type: Individual
Name: Caleb Michael Hathaway
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 6, 2018
Last Updated: Apr 6, 2018

Practice Location

Address: 4100 194TH ST SW STE 100
City: Lynnwood
State: Washington
ZIP Code: 98036-4613
Phone: (425) 426-2761

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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