Search › Washington › 103K00000X
Stacey Taylor
NPI 1417163437 · on the registry since 2007
Practice
- Address
- 18422 103rd Ave Ne
Bothell, WA 98011 - Phone
- (425) 494-0801
- Fax
- (866) 764-2841
- Organisation at this address
- The Behavior Place
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 21
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 101YM0800X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-05-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington