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NPI Code Detail

MEDICARE: TARYN BRADY

MEDICARE: TARYN BRADY
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 Analyst1-23-70166WA

General Provider Information

NPI Number : 1164917183
Entity Type Code : Individual
Provider Name (Legal Business Name) : TARYN BRADY
Provider Business Mailing Address
First Line : 7808 PACIFIC AVE STE 9
Second Line :
City : TACOMA
State : WA
Zip : 98408-7062
Country : US
Telephone Number : 866-240-0808
Fax Number :
Provider Business Practice Location Address
First Line : 7808 PACIFIC AVE STE 9
Second Line :
City : TACOMA
State : WA
Zip : 98408-7062
Country : US
Telephone Number : 866-240-0808
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2018
Last Update Date : 05/06/2026

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Directions to “ TARYN BRADY ” Practice Location

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