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NPI Code Detail

MEDICARE: MAGGIE TOOMBS BCBA

MEDICARE: MAGGIE TOOMBS BCBA
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 Analyst2023-071AL
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1396392726
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAGGIE TOOMBS BCBA
Provider Business Mailing Address
First Line : 1217 COOPER POINT RD SW STE 5
Second Line :
City : OLYMPIA
State : WA
Zip : 98502-7206
Country : US
Telephone Number : 360-464-9052
Fax Number :
Provider Business Practice Location Address
First Line : 1217 COOPER POINT RD SW STE 5
Second Line :
City : OLYMPIA
State : WA
Zip : 98502-7206
Country : US
Telephone Number : 360-464-9052
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2019
Last Update Date : 01/21/2026

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