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General NPI Number Information
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NPI Number | 1881557510
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Entity Type | Individual
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Provider Name | NICOLE ZIMMERMAN CBT
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Gender | Female
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 1622 TERMINAL DR
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City | RICHLAND
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State | WA
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Zip | 99354-4953
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Country | US
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Telephone | 360-984-3131
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Fax | 360-718-8542
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Provider Business Mailing Address
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Address Line | 400 S GEORGIA ST
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City | KENNEWICK
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State | WA
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Zip | 99336-9479
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | CB70076296
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License Number State | WA
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