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General NPI Number Information
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NPI Number | 1356282230
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Entity Type | Individual
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Provider Name | JULIE CREW LABA
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Gender | Female
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Dates
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Enumeration Date | 04/03/2026
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Last Update Date | 04/03/2026
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Provider Practice Location Address
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Address Line | 15712 MILL CREEK BLVD STE 17
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City | MILL CREEK
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State | WA
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Zip | 98012-1573
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Country | US
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Telephone | 425-224-6255
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Fax |
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Provider Business Mailing Address
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Address Line | 22433 NE MARKETPLACE DR APT K2075
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City | REDMOND
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State | WA
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Zip | 98053-1936
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Country | US
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Telephone |
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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 | LABA.AB.70089732
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License Number State | WA
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