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General NPI Number Information
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NPI Number | 1831958826
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Entity Type | Organization
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Legal Business Name | BREATH ABA LLC
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Dates
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Enumeration Date | 03/13/2024
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 3120 139TH AVE SE STE 500
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City | BELLEVUE
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State | WA
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Zip | 98005-4486
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Country | US
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Telephone | 425-429-4222
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 BELLEVUE WAY NE STE 8A PMB 249
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City | BELLEVUE
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State | WA
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Zip | 98004
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Country | US
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Telephone | 425-429-4222
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/BEHAVIOR ANALYST
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Name | DAVID CROCHET
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Credential | BCBA, LBA
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Telephone | 425-429-4222
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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 |
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License Number State |
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