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General NPI Number Information
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NPI Number | 1013411321
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Entity Type | Individual
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Provider Name | MARIE CHRISTINE LAFRONZA BCBA
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Gender | Female
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Dates
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Enumeration Date | 03/21/2018
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 1250 EXECUTIVE PL STE 201
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City | GENEVA
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State | IL
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Zip | 60134-3805
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Country | US
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Telephone | 630-400-6821
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Fax |
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Provider Business Mailing Address
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Address Line | 555 GUNDERSEN DR APT 506
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City | CAROL STREAM
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State | IL
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Zip | 60188-3006
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Country | US
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Telephone | 630-400-6821
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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 | 18-47920
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-19-39549
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License Number State | IL
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