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NPI # 

Practice Address:

2100 24Th Ave S Ste 260

Seattle, WA, 98144-4644

Practice Phone:

206-382-5340

License Number:

CB60920282

License State:

WA

Taxonomy Grouping:

Behavioral Health & Social Service Providers

Taxonomy Classification:

Behavior Technician

Taxonomy Code:

106S00000X

Updated by NPPES on 7/31/2019. You can view the original data set for NPI # 1104383033 on the official NPPES website. If the information about this NPI provider/company is outdated and you would like to help us update the information, you can Contact Us. This will only update NPI information on NPIScope.com. See our FAQ page for further information on updating NPI information.

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