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General NPI Number Information
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NPI Number | 1003780024
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Entity Type | Individual
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Provider Name | KATHERINE MACOMBER RBT
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Gender | Female
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Dates
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Enumeration Date | 10/02/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 9367 TREVARTHON RD
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City | ORLANDO
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State | FL
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Zip | 32817-2609
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Country | US
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Telephone | 407-681-8111
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Fax |
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Provider Business Mailing Address
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Address Line | 1650 SAND LAKE RD STE 230
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City | ORLANDO
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State | FL
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Zip | 32809-9138
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Country | US
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Telephone | 800-378-7597
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Fax | 877-399-5578
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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 | RBT-25-460065
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License Number State | FL
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