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NPI Code Detail

MEDICARE: SKYE LEVARI

MEDICARE:   SKYE  LEVARI
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
1106S00000XBehavior TechnicianCB60945477WA

General Provider Information

NPI Number : 1710446141
Entity Type Code : Individual
Provider Name (Legal Business Name) : SKYE LEVARI
Provider Business Mailing Address
First Line : 20818 44TH AVE W STE 270
Second Line :
City : LYNNWOOD
State : WA
Zip : 98036-7709
Country : US
Telephone Number : 425-712-0802
Fax Number :
Provider Business Practice Location Address
First Line : 414 W BAKERVIEW RD STE 101
Second Line :
City : BELLINGHAM
State : WA
Zip : 98226-8180
Country : US
Telephone Number : 360-738-9580
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2019
Last Update Date : 03/15/2019

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Directions to “ SKYE LEVARI ” Practice Location

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