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General NPI Number Information
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NPI Number | 1003722612
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Entity Type | Individual
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Provider Name | CHARITY PAAGA SALLYSULUI KEMPTON BCBA, LBA
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Gender | Female
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Dates
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Enumeration Date | 08/22/2026
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Last Update Date | 08/22/2026
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Provider Practice Location Address
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Address Line | 2825 E COTTONWOOD PKWY
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City | SALT LAKE CITY
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State | UT
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Zip | 84121-7055
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Country | US
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Telephone | 801-448-6195
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Fax |
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Provider Business Mailing Address
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Address Line | 1424 S 600 W
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City | SPRINGVILLE
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State | UT
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Zip | 84663-5969
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 14306977-2506
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License Number State | UT
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