MEDICARE: WHITNEY HAMMEL 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
1	103K00000X	Behavior Analyst	1-14-9843

General Provider Information

NPI Number	:	1437552098
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WHITNEY HAMMEL BCBA

Provider Business Mailing Address
First Line	:	12729 NORTHUP WAY
Second Line	:	#23
City	:	BELLEVUE
State	:	WA
Zip	:	98005-1935
Country	:	US
Telephone Number	:	888-856-0977
Fax Number	:

Provider Business Practice Location Address
First Line	:	12729 NORTHUP WAY
Second Line	:	#23
City	:	BELLEVUE
State	:	WA
Zip	:	98005-1935
Country	:	US
Telephone Number	:	888-856-0977
Fax Number	:

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

Provider Enumeration Date	:	09/26/2014
Last Update Date	:	09/26/2014

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