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General NPI Number Information
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NPI Number | 1023530417
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Entity Type | Individual
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Provider Name | HANNAH KRISTIN ROBERTS BCBA
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Gender | Female
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Dates
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Enumeration Date | 07/07/2017
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Last Update Date | 07/07/2017
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Provider Practice Location Address
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Address Line | 90 COMPARK RD STE D
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City | CENTERVILLE
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State | OH
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Zip | 45459-4982
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Country | US
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Telephone | 937-688-4890
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Fax |
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Provider Business Mailing Address
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Address Line | 3230 OAKLEY STATION BLVD UNIT 309
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City | CINCINNATI
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State | OH
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Zip | 45209-1280
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Country | US
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Telephone | 267-625-3642
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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 | 1-16-21588
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License Number State |
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