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General NPI Number Information
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NPI Number | 1003723636
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Entity Type | Individual
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Provider Name | TYONA BALLARD RBT
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Gender | Female
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Dates
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Enumeration Date | 08/27/2026
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Last Update Date | 08/27/2026
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Provider Practice Location Address
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Address Line | 3074 WHITNEY AVE BLDG 3
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City | HAMDEN
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State | CT
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Zip | 06518-2391
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Country | US
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Telephone | 855-444-5664
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Fax |
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Provider Business Mailing Address
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Address Line | 54 VINE ST
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City | ANSONIA
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State | CT
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Zip | 06401-3245
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Country | US
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Telephone | 475-228-9102
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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