| LCA CASE NUMBER | I-200-21221-510151 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-09 |
| DECISION DATE | 2021-08-16 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | SPEECH LANGUAGE PATHOLOGIST |
| SOC CODE | 29-1127.00 |
| SOC TITLE | Speech-Language Pathologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-01 |
| END DATE | 2024-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | LAKESIDE CENTER FOR AUTISM LLC |
| TRADE NAME DBA | d/b/a ICAN |
| EMPLOYER ADDRESS1 | 5150 VILLAGE PARK DR SE |
| EMPLOYER CITY | BELLEVUE |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98006 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14256570620 |
| NAICS CODE | 62134 |
| EMPLOYER POC LAST NAME | TYL |
| EMPLOYER POC FIRST NAME | BRIAN |
| EMPLOYER POC JOB TITLE | HUMAN RESOURCES DIRECTOR |
| EMPLOYER POC ADDRESS1 | 5150 VILLAGE PARK DR SE |
| EMPLOYER POC CITY | BELLEVUE |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98005 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14256570620 |
| EMPLOYER POC EMAIL | BRITYL@I-CAN.CENTER |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | CHRISTOFFERSEN |
| AGENT ATTORNEY FIRST NAME | LISA |
| AGENT ATTORNEY MIDDLE NAME | M |
| AGENT ATTORNEY ADDRESS1 | 1001 4TH AVE, STE 4500 |
| AGENT ATTORNEY CITY | SEATTLE |
| AGENT ATTORNEY STATE | WA |
| AGENT ATTORNEY POSTAL CODE | 98154 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12069353824 |
| AGENT ATTORNEY EMAIL ADDRESS | LMC@PNWIMMIGRATION.COM |
| LAWFIRM NAME BUSINESS NAME | CHRISTOFFERSEN LAW P.S. |
| STATE OF HIGHEST COURT | WA |
|
| NAME OF HIGHEST STATE COURT | WASHINGTON STATE SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 5150 VILLAGE PARK DR SE |
| LCA CASE WORKLOC1 CITY | BELLEVUE |
| WORKSITE COUNTY | KING |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98006 |
| LCA CASE WAGE RATE FROM | 80200 |
| LCA CASE WAGE RATE TO | 85200 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 80163 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
