Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Audra Sisak, QASP, BCCS

Individual provider Specialist · NPI 1578918207

Audra Sisak, QASP, BCCS is a Specialist in Puyallup, Washington. Practices as a sole proprietor and works from 3 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

7711 156th Street Ct E
Puyallup, WA 98375-7653
Phone: (609) 312-8261
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 610 Bourdois Ave, Bellport, NY 11713-1631 — (631) 803-0088
  • 610 Bourdois Ave, Bellport, NY 11713-1631 — (631) 803-0088

Specialties & licences

Specialist (primary) Taxonomy 174400000X
Specialist Taxonomy 174400000X (WA)

Record details

NPI number1578918207
Entity typeIndividual (Type 1)
GenderFemale
Credentials QASP , BCCS
Sole proprietorYes
NPI enumeratedMay 2, 2016
Last updated in NPPESJanuary 19, 2021
Certification dateJanuary 19, 2021

Other providers in Puyallup