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Organization

IMAGINE BEHAVIORAL AND DEVELOPMENTAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NIKKI PAGEL (CREDENTIALING)
(509) 209-2696
Entity
Organization

Contact information

Practice address
9720 S TACOMA WAY, TACOMA, WA 98499-4456
(253) 682-0320
Mailing address
901 N MONROE ST STE 200, SPOKANE, WA 99201-2148
(509) 328-2740

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
CG60490737
WA

Other

Enumeration date
08/19/2014
Last updated
08/19/2014
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