Blueprints

NPI 1083058853 - Behavioral Analyst - 103K00000X

NPI Details
NPI 1083058853
Enumeration Date 04/24/2013
Last Updated 04/24/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name SHANE SHANE
Position CEO/PRESIDENT
Phone (206) 384-4142
Fax
Practice Location
5624 7TH AVE NW
SEATTLE WA, 98107-2729, US
Phone (206) 384-4142
Fax
Business Location
5624 7TH AVE NW
SEATTLE WA, 98107-2729, US
Phone (206) 384-4142
Fax
Toxanomy
Taxonomy Code 103K00000X
License State
License Number
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According to our database, Blueprints NPI is 1083058853, taxonomy code is 103K00000X Blueprints physically located at 5624 7th Ave Nw, Seattle WA, 98107-2729. NPI Number 1033115704 has the healthcare provider type.

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1083058853 NPI number is provided on an as is basis without warranty of any kind. 1083058853 is maintained by the National Plan & Provider Enumeration System. The contents of Blueprints are for informational purposes only.