Most Relevant Information
Provider Data
| NPI Number: | 1003435389 |
| Provider Name: | DORA MARIA HALVERSON |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/16/2020 |
| Last Updated: | 04/16/2020 |
Provider Practice Location
1960 THOMPSON DR
SEDRO WOOLLEY
WA
982845007
Practice Location Phone/Fax
| Phone: | 3608563137 |
| Fax: |
Provider Mailing Location
1960 THOMPSON DR
SEDRO WOOLLEY
WA
982845007
Provider Mailing Phone/Fax
| Phone: | 3608563137 |
| Fax: |