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General NPI Number Information
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NPI Number | 1639467434
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Entity Type | Individual
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Provider Name | LAURA CASPER M.A., BCBA, LBA M.A. BCBA, LBA
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Gender | Female
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Dates
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Enumeration Date | 07/13/2011
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Last Update Date | 02/28/2020
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Provider Practice Location Address
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Address Line | 22910 SE 271ST PL
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City | MAPLE VALLEY
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State | WA
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Zip | 98038-7951
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Country | US
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Telephone | 727-505-1575
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Fax |
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Provider Business Mailing Address
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Address Line | 22804 SE 268TH PL
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City | MAPLE VALLEY
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State | WA
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Zip | 98038-6878
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Country | US
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Telephone | 727-505-1575
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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 | 101Y00000X
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Taxonomy Name | Counselor
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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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