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NPI Code Detail

MEDICARE: AUTISM BEHAVIOR CONNECTIONS

MEDICARE: AUTISM BEHAVIOR CONNECTIONS
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 Analyst

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11093009193OTHERWASTACEY HOTTER-KNIGHT

General Provider Information

NPI Number : 1548800071
Entity Type Code : Organization
Provider Name (Legal Business Name) : AUTISM BEHAVIOR CONNECTIONS
Provider Business Mailing Address
First Line : 231 SE BARRINGTON DR STE 201
Second Line :
City : OAK HARBOR
State : WA
Zip : 98277-3200
Country : US
Telephone Number : 559-265-2209
Fax Number : 360-682-5551
Provider Business Practice Location Address
First Line : 111 E CENTRAL AVE
Second Line :
City : SPOKANE
State : WA
Zip : 99208-1108
Country : US
Telephone Number : 509-265-2209
Fax Number : 360-240-0022
Authorized Official
Title or Position : OWNER / PRESIDENT
Name : MISS STACEY HOTTER-KNIGHT
Credential : MS.ED, BCBA
Telephone Number : 559-265-2290
Provider Enumeration Date : 01/13/2020
Last Update Date : 01/13/2020

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Directions to “AUTISM BEHAVIOR CONNECTIONS ” Practice Location

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