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General NPI Number Information
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NPI Number | 1669376760
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Entity Type | Individual
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Provider Name | MARIAH PASSMORE
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Gender | Female
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 1414 N VERCLER RD STE 2
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City | SPOKANE VALLEY
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State | WA
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Zip | 99216-1092
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Country | US
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Telephone | 509-991-7885
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Fax |
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Provider Business Mailing Address
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Address Line | 2214 E EMPIRE AVE
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City | SPOKANE
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State | WA
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Zip | 99207-4518
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number | CBT.CB.70186139
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License Number State | WA
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