Hathaway, Nell Elizabeth

Hathaway, Nell Elizabeth is an individual health care provider with primary practice located at 1570 Wilmington Dr Ste 220 , Dupont WA 98327-8773. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Hathaway, Nell Elizabeth can be contacted via phone (253) 507-7004.

Contact Information

Primary practice address
1570 Wilmington Dr Ste 220 Dupont WA 98327-8773
Phone: (253) 507-7004
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X AB61124821 Washington
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X CBT.CB.60846528 Washington
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X BA61259363 Washington

Profile Details

NPI number 1922447572
LBN Legal business name Hathaway, Nell Elizabeth
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2013
Last updated Feb 16th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922447572 NPPES
Washington MEDICAID 1922447572

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