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General NPI Number Information
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NPI Number | 1962991265
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Entity Type | Individual
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Provider Name | LOUELLE NADELA
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Gender | Female
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Dates
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Enumeration Date | 05/02/2018
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Last Update Date | 06/15/2021
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Provider Practice Location Address
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Address Line | 110 2ND ST SW STE 140
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City | AUBURN
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State | WA
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Zip | 98001-5203
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Country | US
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Telephone | 206-480-6344
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Fax | 253-216-2821
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Provider Business Mailing Address
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Address Line | 15428 SE 252ND PL
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City | COVINGTON
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State | WA
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Zip | 98042-4192
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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 | RBT-16-25872
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-18-31987
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License Number State | WA
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