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General NPI Number Information
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NPI Number | 1013552470
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Entity Type | Organization
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Legal Business Name | LEARNING TO LEARN ABA INTERVENTIONS, LLC
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Dates
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Enumeration Date | 11/08/2019
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Last Update Date | 05/03/2022
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Provider Practice Location Address
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Address Line | 10310 26TH PL SE
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City | LAKE STEVENS
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State | WA
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Zip | 98258-5669
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Country | US
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Telephone | 425-248-5222
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Fax |
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Provider Business Mailing Address
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Address Line | 10310 26TH PL SE
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City | LAKE STEVENS
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State | WA
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Zip | 98258-5669
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Country | US
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Telephone | 425-248-5222
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR, OWNER
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Name | KATHERINE GILYEAT
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Credential | BCBA, LBA
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Telephone | 425-248-5222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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