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NPI Code Detail

MEDICARE: REBECCA GRACE EMMETT

MEDICARE: REBECCA GRACE EMMETT
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 AnalystBA61212047WA

General Provider Information

NPI Number : 1427426493
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA GRACE EMMETT
Provider Business Mailing Address
First Line : 4201 MERIDIAN ST STE 113
Second Line :
City : BELLINGHAM
State : WA
Zip : 98226-5532
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4201 MERIDIAN ST STE 113
Second Line :
City : BELLINGHAM
State : WA
Zip : 98226-5532
Country : US
Telephone Number : 360-305-3275
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2015
Last Update Date : 10/17/2024

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Directions to “ REBECCA GRACE EMMETT ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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