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Individual

MRS. HOPE ELIZABETH PELLENBARG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., BCBA, LBA

Contact information

Practice address
1003 7TH AVE, KIRKLAND, WA 98033
(425) 658-3016
(425) 658-3017
Mailing address
1003 7TH AVE, KIRKLAND, WA 98033
(425) 658-3016
(425) 658-3017

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-14-16277
MD
103K00000X
Behavior Analyst
1-14-16277
103K00000X
Behavior Analyst
Primary
BA60770961
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2077236
WA
Enumeration date
02/13/2015
Last updated
05/01/2019
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