NPI 1003240177

Michael Connolly

Practitioner Behavior Analyst Tacoma, WA

Practice location

Address: 1826 Markham Ave NE # B, Tacoma, WA 98422-1015
Phone: (541) 637-6855
Mailing address: PO Box 3841, Federal Way, WA 98063-3841

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence CG60396523 (WA)

Other Behavior Analyst providers in Washington →

Registry record

NPI: 1003240177
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Aug 2013
Record last updated: 26 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.