MEDICARE: NOVA BEHAVIORAL CARE PLLC

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

General Provider Information

NPI Number	:	1306785829
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOVA BEHAVIORAL CARE PLLC

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	:	MANAGING MEMBER
Name	:	EMILY DUNN
Credential	:	MED, BCBA, LBA
Telephone Number	:	703-474-8931

Provider Enumeration Date	:	03/27/2026
Last Update Date	:	03/27/2026

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