NPI 1013786839

Lydia Nicole McCollum

Practitioner Behavior Analyst Bothell, WA

Practice location

Address: 18311 Bothell Everett Hwy STE 260, Bothell, WA 98012-5233
Phone: (206) 250-9014

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X

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Registry record

NPI: 1013786839
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Dec 2023
Record last updated: 20 Dec 2023

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.