Tia Renee Hershaw
Behavior Technician in Seattle, WA. Individual provider (NPI-1).
NPI number1053145367
StatusActive
Last updated in NPPESAug 28, 2024
Details
- NPI
- 1053145367
- Entity type
- Individual (NPI-1)
- Name
- Tia Renee Hershaw
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 28, 2024
- Certification date
- Aug 28, 2024
- Last updated
- Aug 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
600 Stewart St Ste 300Seattle, WA 98101-1257
Phone 360-569-3600
Mailing address
4101 Consolidation Ave Apt 203Bellingham, WA 98229-2849
Phone 360-630-7954
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