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NPI Code Detail

MEDICARE: ALEXANDER BAGASIN-MAYR BCBA, LBA

MEDICARE:   ALEXANDER  BAGASIN-MAYR  BCBA, LBA
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 Analyst04233NY
2103K00000XBehavior AnalystBA61484265WA

General Provider Information

NPI Number : 1760039960
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDER BAGASIN-MAYR BCBA, LBA
Provider Business Mailing Address
First Line : 5050 123RD AVE SE
Second Line :
City : BELLEVUE
State : WA
Zip : 98006-2800
Country : US
Telephone Number : 425-500-4269
Fax Number :
Provider Business Practice Location Address
First Line : 8725 S 212TH ST
Second Line :
City : KENT
State : WA
Zip : 98031-1921
Country : US
Telephone Number : 425-658-3016
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2019
Last Update Date : 06/04/2025

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Directions to “ ALEXANDER BAGASIN-MAYR BCBA, LBA” Practice Location

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