Hailey Mumm

Individual provider Active NPI Behavior Technician · Tacoma, WA

NPI 1043900830 · NPPES record last updated May 15, 2023

Key facts

NPI
1043900830
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
3315 S 23Rd St Ste 102
Tacoma, WA 98405-1615
Phone
(253) 345-5720
NPI assigned
May 15, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

3315 S 23Rd St Ste 102
Tacoma, WA 98405-1615

Mailing address

5850 Granite Pkwy Ste 600
Plano, TX 75024-6753

Other providers in Tacoma, WA

All providers in Tacoma, WA · Behavior Technician in Washington

Sources for this page

Verify at the official NPI Registry.