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NPI 1194690636

NPI 1194690636 : THE TREEHOUSE HOURLY CHILD CARE, LLC : WATERTOWN, NY

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General NPI Number Information
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    NPI Number           |    1194690636
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    Entity Type          |    Organization 
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    Legal Business Name  |    THE TREEHOUSE HOURLY CHILD CARE, LLC 
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Dates
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    Enumeration Date     |    10/06/2025
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    Last Update Date     |    10/06/2025
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Provider Practice Location Address
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    Address Line         |    1635 OHIO ST 
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    City                 |    WATERTOWN
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    State                |    NY
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    Zip                  |    13601-3032
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    Country              |    US
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    Telephone            |    215-786-7285
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    Fax                  |    315-786-7270
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Provider Business Mailing Address
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    Address Line         |    1635 OHIO ST 
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    City                 |    WATERTOWN
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    State                |    NY
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    Zip                  |    13601-3032
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    Country              |    US
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    Telephone            |    215-786-7285
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    Fax                  |    315-786-7270
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     AMANDA  BURT 
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    Credential           |    
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    Telephone            |    253-326-6951
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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       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    
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    License Number State |    
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