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NPI Code Detail

MEDICARE: CAMYLLE MIYOKO YAMAUCHI

MEDICARE: CAMYLLE MIYOKO YAMAUCHI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior AnalystBA61326338WA

General Provider Information

NPI Number : 1023518602
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAMYLLE MIYOKO YAMAUCHI
Provider Business Mailing Address
First Line : 1445 NW MALL ST STE 2
Second Line :
City : ISSAQUAH
State : WA
Zip : 98027-7900
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1445 NW MALL ST STE 2
Second Line :
City : ISSAQUAH
State : WA
Zip : 98027-7900
Country : US
Telephone Number : 425-651-8117
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2018
Last Update Date : 06/30/2025

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Directions to “ CAMYLLE MIYOKO YAMAUCHI ” Practice Location

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