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NPI 1740923846

NPI 1740923846 : SHERYL KAUILANI BARRETTO BCBA : PORT ORCHARD, WA

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General NPI Number Information
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    NPI Number           |    1740923846
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    Entity Type          |    Individual 
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    Provider Name        |    SHERYL KAUILANI BARRETTO BCBA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/16/2022
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    Last Update Date     |    09/19/2025
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Provider Practice Location Address
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    Address Line         |    1950 POTTERY AVE STE 124 
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    City                 |    PORT ORCHARD
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    State                |    WA
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    Zip                  |    98366-2501
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    Country              |    US
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    Telephone            |    855-201-8141
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1045 TIMBERLINE AVE 
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    City                 |    BREMERTON
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    State                |    WA
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    Zip                  |    98312-7004
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    Country              |    US
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    Telephone            |    808-426-0722
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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       |    1-23-69688
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    License Number State |    IL
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Taxonomy #2
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    Taxonomy Code        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    RBT-21-170098
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    License Number State |    IL
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