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General NPI Number Information
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NPI Number | 1609769157
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Entity Type | Organization
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Legal Business Name | WASHINGTON SPECTRUM SCHOOLS
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 22415 SE 231ST ST STE B103
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City | MAPLE VALLEY
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State | WA
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Zip | 98038-5002
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Country | US
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Telephone | 206-949-7640
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Fax | 425-906-4321
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Provider Business Mailing Address
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Address Line | 22415 SE 231ST ST STE B103
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City | MAPLE VALLEY
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State | WA
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Zip | 98038-5002
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Country | US
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Telephone | 206-949-7640
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Fax | 425-906-4321
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | LESLEY PAHL
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Credential | MA, BCBA
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Telephone | 206-949-7640
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider 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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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Taxonomy #3
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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Taxonomy #4
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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Taxonomy #5
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Taxonomy Code | 385HR2050X
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Taxonomy Name | Respite Care Camp
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License Number |
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Taxonomy #6
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Taxonomy Code | 385HR2055X
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Taxonomy Name | Child Mental Illness Respite Care
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License Number |
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Taxonomy #7
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #9
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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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