Basic Information
Provider Information
NPI: 1306230529
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHILLER
FirstName: KARLI
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2825 DELIN ST
Address2: APARTMENT B 205
City: TACOMA
State: WA
PostalCode: 984021125
CountryCode: US
TelephoneNumber: 2063535180
FaxNumber:  
Practice Location
Address1: 3214 W MCGRAW ST
Address2: 212
City: SEATTLE
State: WA
PostalCode: 981993239
CountryCode: US
TelephoneNumber: 2064534882
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/25/2015
LastUpdateDate: 03/25/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103K00000XCG 60543987WAY Behavioral Health & Social Service ProvidersBehavioral Analyst 

No ID Information.


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