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General NPI Number Information
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NPI Number | 1346060845
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Entity Type | Individual
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Provider Name | ASHLEE VANESSA CORTINAS BCBA
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Gender | Female
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Dates
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Enumeration Date | 10/10/2024
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 1510 140TH AVE NE STE 100
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City | BELLEVUE
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State | WA
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Zip | 98005-4572
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Country | US
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Telephone | 425-543-7382
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Fax |
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Provider Business Mailing Address
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Address Line | 18245 142ND AVE NE APT 113
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City | WOODINVILLE
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State | WA
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Zip | 98072-4356
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Country | US
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Telephone | 559-652-8342
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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 | 61614551
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License Number State | WA
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