MEDICARE: EMILY DUNN MED, BCBA, LBA

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
1	103K00000X	Behavior Analyst	BA61626998	WA

General Provider Information

NPI Number	:	1255889937
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY DUNN MED, BCBA, LBA

Provider Business Mailing Address
First Line	:	8344 28TH AVE NW APT 1
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98117-4519
Country	:	US
Telephone Number	:	703-474-8931
Fax Number	:

Provider Business Practice Location Address
First Line	:	8344 28TH AVE NW APT 1
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98117-4519
Country	:	US
Telephone Number	:	703-474-8931
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2016
Last Update Date	:	03/27/2026

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