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NPI Code Detail

MEDICARE: BROOKELYNN COLE BEHAVIOR ANALYST

MEDICARE: BROOKELYNN COLE BEHAVIOR ANALYST
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 Analyst0133004724VA
2103K00000XBehavior AnalystBA61354237WA

General Provider Information

NPI Number : 1902259575
Entity Type Code : Individual
Provider Name (Legal Business Name) : BROOKELYNN COLE BEHAVIOR ANALYST
Provider Business Mailing Address
First Line : 16821 SE MCGILLIVRAY BLVD STE 100
Second Line :
City : VANCOUVER
State : WA
Zip : 98683-0401
Country : US
Telephone Number : 360-818-9593
Fax Number :
Provider Business Practice Location Address
First Line : 16821 SE MCGILLIVRAY BLVD STE 100
Second Line :
City : VANCOUVER
State : WA
Zip : 98683-0401
Country : US
Telephone Number : 360-818-9593
Fax Number : 360-818-9593
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2016
Last Update Date : 11/18/2025

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Directions to “ BROOKELYNN COLE BEHAVIOR ANALYST” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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