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General NPI Number Information
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NPI Number | 1013639285
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Entity Type | Individual
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Provider Name | KENYA MARIE BILLITER RBT
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Gender | Female
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Dates
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Enumeration Date | 09/14/2022
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Last Update Date | 09/14/2022
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Provider Practice Location Address
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Address Line | 1402 COLEGATE DR
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City | MARIETTA
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State | OH
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Zip | 45750-1330
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Country | US
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Telephone | 740-371-4112
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Fax |
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Provider Business Mailing Address
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Address Line | 373 FRIENDLY HILL RD
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City | FRIENDLY
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State | WV
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Zip | 26146-7408
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Country | US
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Telephone | 304-815-3154
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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 | RBT-22-231914
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License Number State | WV
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