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General NPI Number Information
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NPI Number | 1013605856
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Entity Type | Individual
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Provider Name | CHRISTOPHER A LEBLANC BCBA
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Gender | Male
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Dates
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Enumeration Date | 04/28/2023
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 50 WILLOW DR
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City | ORLANDO
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State | FL
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Zip | 32807-3220
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Country | US
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Telephone | 407-895-0801
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Fax |
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Provider Business Mailing Address
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Address Line | 3651 LIVI LN
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City | TITUSVILLE
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State | FL
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Zip | 32780-6040
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Country | US
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Telephone | 321-482-0554
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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 | 1-25-78786
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License Number State | FL
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