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General NPI Number Information
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NPI Number | 1871311944
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Entity Type | Individual
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Provider Name | ANNA NGUYEN
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Gender | Female
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Dates
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Enumeration Date | 09/28/2024
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 230 POLLMAN CIR
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City | LYNDEN
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State | WA
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Zip | 98264-9633
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Country | US
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Telephone | 206-571-2977
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Fax |
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Provider Business Mailing Address
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Address Line | 230 POLLMAN CIR
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City | LYNDEN
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State | WA
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Zip | 98264-9633
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Country | US
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Telephone | 206-571-2977
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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 | AB61619782
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License Number State | WA
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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-24-373037
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-25-82308
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License Number State | WA
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