| Thayne Doyle | |
|
3214 W Mcgraw St Ste 212 Seattle WA 98199-3239 | |
| (509) 998-1542 | |
| Not Available |
| Full Name | Thayne Doyle |
|---|---|
| Speciality | Behavior Technician |
| Location | 3214 W Mcgraw St Ste 212, Seattle, Washington |
| Authorized Official Name and Position | Mccullough Chastain (HR MGR) |
| Authorized Official Contact | 2064534882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thayne Doyle 3214 W Mcgraw St Ste 212 Seattle WA 98199-3239 Ph: (509) 998-1542 | Thayne Doyle 3214 W Mcgraw St Ste 212 Seattle WA 98199-3239 Ph: (509) 998-1542 |
| NPI Number | 1740750231 |
|---|---|
| Provider Enumeration Date | 11/28/2018 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740750231 | NPI | - | NPPES |
| 482946A | Other | WA | TEACHING CERTIFICATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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