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General NPI Number Information
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NPI Number | 1104613751
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Entity Type | Individual
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Provider Name | ALEXANDER PERES LANIER MA, BCBA
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Gender | Male
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Dates
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Enumeration Date | 04/24/2025
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 600 NW GILMAN BLVD STE E
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City | ISSAQUAH
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State | WA
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Zip | 98027-2445
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Country | US
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Telephone | 425-999-1453
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Fax |
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Provider Business Mailing Address
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Address Line | 18505 SE NEWPORT WAY UNIT C215
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City | ISSAQUAH
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State | WA
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Zip | 98027-9034
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Country | US
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Telephone | 425-999-1453
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Fax |
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | LBA.BA.61691814
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License Number State | WA
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