MEDICARE: WITHOUT LIMITS

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	:	1669321279
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WITHOUT LIMITS

Provider Business Mailing Address
First Line	:	519 ARBOR DR
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59802-3125
Country	:	US
Telephone Number	:	612-220-9714
Fax Number	:

Provider Business Practice Location Address
First Line	:	519 ARBOR DR
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59802-3125
Country	:	US
Telephone Number	:	612-220-9714
Fax Number	:

Authorized Official
Title or Position	:	BCBA, BOARD MEMBER
Name	:	TONYA BLANEY
Credential	:	BCBA
Telephone Number	:	406-274-2747

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

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