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General NPI Number Information
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NPI Number | 1881264588
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Entity Type | Organization
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Legal Business Name | AUTISM AND BEHAVIORAL CARE LLC
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Dates
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Enumeration Date | 06/25/2021
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Last Update Date | 06/25/2021
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Provider Practice Location Address
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Address Line | 1022 N MAGNOLIA LN
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City | TACOMA
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State | WA
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Zip | 98406-8453
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Country | US
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Telephone | 253-232-2404
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Fax |
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Provider Business Mailing Address
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Address Line | 1022 N MAGNOLIA LN
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City | TACOMA
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State | WA
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Zip | 98406-8453
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Country | US
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Telephone | 253-232-2404
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Fax |
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Authorized Official
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Title or Position | OWNER/BCBA
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Name | HANNAH SCHWAB
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Credential | MED, BCBA, LBA
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Telephone | 253-232-2404
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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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