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General NPI Number Information
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NPI Number | 1306460977
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Entity Type | Organization
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Legal Business Name | HOPE CENTER FOR APPLIED BEHAVIOR ANALYSIS
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Dates
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Enumeration Date | 05/29/2020
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Last Update Date | 05/29/2020
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Provider Practice Location Address
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Address Line | 3627 212TH PL SE
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City | SAMMAMISH
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State | WA
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Zip | 98075-9211
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Country | US
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Telephone | 505-917-5234
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Fax |
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Provider Business Mailing Address
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Address Line | 3627 212TH PL SE
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City | SAMMAMISH
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State | WA
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Zip | 98075-9211
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Country | US
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Telephone | 505-917-5234
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | CHRISTINE MARIE DOMSCHOT
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Credential | BCBA, LBA
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Telephone | 505-917-5234
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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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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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