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General NPI Number Information
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NPI Number | 1083246144
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Entity Type | Individual
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Provider Name | BRIGITTE BONACI CB
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Gender | Female
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Dates
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Enumeration Date | 02/06/2020
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Last Update Date | 10/05/2023
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Provider Practice Location Address
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Address Line | 1814 216TH PL NE
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City | SAMMAMISH
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State | WA
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Zip | 98074-4115
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Country | US
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Telephone | 425-588-8220
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Fax |
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Provider Business Mailing Address
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Address Line | 3276 CALIFORNIA AVE SW # A
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City | SEATTLE
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State | WA
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Zip | 98116-3305
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Country | US
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Telephone | 425-691-6847
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Fax | 208-416-6922
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | CB61041162
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | BA61482376
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License Number State | WA
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