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NPI Code Detail

MEDICARE: MR. JOSEPH CHARLES BARISO

MEDICARE: MR. JOSEPH CHARLES BARISO
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 Technician

General Provider Information

NPI Number : 1912740424
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOSEPH CHARLES BARISO
Provider Business Mailing Address
First Line : PO BOX 2866
Second Line :
City : RENTON
State : WA
Zip : 98056-0866
Country : US
Telephone Number : 425-900-5666
Fax Number : 425-900-5925
Provider Business Practice Location Address
First Line : 3704 NE 9TH CT
Second Line :
City : RENTON
State : WA
Zip : 98056-3815
Country : US
Telephone Number : 425-900-5666
Fax Number : 425-900-5925
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2024
Last Update Date : 06/13/2024

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Directions to “ MR. JOSEPH CHARLES BARISO ” Practice Location

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