Colin Michael Haggerty Jr., M. ED, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BA61128062 Issued in WA

Practice address

7011 McDougall Ave
Everett, WA 98203-5460

Phone

(480) 242-1275

NPI assigned

Jun 13, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1669965760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 AURORA AVE N APT 303",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981092269",
            "telephone_number": "858-952-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7011 MCDOUGALL AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982035460",
            "telephone_number": "480-242-1275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGGERTY",
        "first_name": "COLIN",
        "middle_name": "MICHAEL",
        "name_suffix": "Jr.",
        "credential": "M. ED, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-13",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "BA61128062",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Hagen
• Rachael Hager
• Brittany S Haggard
• David Haggen, LMP
• Haggen, Inc
• Chris Samuel Haguewood
• Cheryl Anne Hahn, ARNP
• Julia Francine Hahn, SUDPT
• Kaelie Anne Hahn, CDPT
• Selamwit Haile

• Behavior Analyst in Everett, WA
• Providers in Everett, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.