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NPI 1225915325

NPI 1225915325 : HANNAH ELIZABETH WHITE CBT : VANCOUVER, WA

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General NPI Number Information
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    NPI Number           |    1225915325
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    Entity Type          |    Individual 
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    Provider Name        |    HANNAH ELIZABETH WHITE CBT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/19/2025
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    Last Update Date     |    09/02/2025
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Provider Practice Location Address
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    Address Line         |    6409 E MILL PLAIN BLVD 
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    City                 |    VANCOUVER
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    State                |    WA
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    Zip                  |    98661-7454
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    Country              |    US
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    Telephone            |    360-518-6249
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2349 N LOMBARD ST 
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    City                 |    PORTLAND
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    State                |    OR
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    Zip                  |    97217-5764
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    Country              |    US
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    Telephone            |    503-857-9804
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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        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    CB70033692
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    License Number State |    WA
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