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NPI Code Detail

MEDICARE: ALLISON PFERSICH BCBA

MEDICARE: ALLISON PFERSICH 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 Analyst

General Provider Information

NPI Number : 1689996977
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON PFERSICH BCBA
Provider Business Mailing Address
First Line : 511 E ROY ST APT 113
Second Line :
City : SEATTLE
State : WA
Zip : 98102-5933
Country : US
Telephone Number : 781-413-5544
Fax Number :
Provider Business Practice Location Address
First Line : 600 STEWART ST STE 300
Second Line :
City : SEATTLE
State : WA
Zip : 98101-1257
Country : US
Telephone Number : 855-832-6727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2010
Last Update Date : 07/09/2025

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