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General NPI Number Information
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NPI Number | 1275259004
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Entity Type | Organization
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Legal Business Name | WE PLAY ABA THERAPY LLC
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Dates
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Enumeration Date | 10/13/2022
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Last Update Date | 04/09/2024
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Provider Practice Location Address
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Address Line | 26220 DUNGENESS AVE NE # C129
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City | KINGSTON
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State | WA
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Zip | 98346-4518
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Country | US
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Telephone | 360-860-7529
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Fax | 360-972-7460
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Provider Business Mailing Address
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Address Line | PO BOX 647
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City | KINGSTON
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State | WA
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Zip | 98346-0647
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Country | US
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Telephone | 360-540-3282
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | CRYSTAL MARIE FLINT
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Credential | BCBA
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Telephone | 360-860-7529
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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