MEDICARE: ACADEMY FOR PRECISION LEARNING

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	:	1780053447
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACADEMY FOR PRECISION LEARNING

Provider Business Mailing Address
First Line	:	PO BOX 51241
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98115-1241
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5031 UNIVERSITY WAY NE STE 105
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98105-4341
Country	:	US
Telephone Number	:	206-427-0115
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	JENNIFER ANNABLE
Credential	:	M. ED BCBA
Telephone Number	:	206-427-0115

Provider Enumeration Date	:	09/23/2015
Last Update Date	:	09/23/2015

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