NPI 1003474339

Holly L Bayless Da Costa

Practitioner Behavior Technician Tacoma, WA

Practice location

Address: 3562 a St, Tacoma, WA 98418-7902
Phone: (253) 376-4636

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Washington →

Registry record

NPI: 1003474339
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jun 2019
Record last updated: 2 Jun 2019

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.