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General NPI Number Information
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NPI Number | 1023659307
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Entity Type | Individual
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Provider Name | VICTORIA VEROSKY BCBA
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Gender | Female
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Dates
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Enumeration Date | 10/08/2019
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Last Update Date | 03/19/2024
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Provider Practice Location Address
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Address Line | 320 E 27TH ST
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City | LOVELAND
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State | CO
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Zip | 80538-3204
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Country | US
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Telephone | 970-237-4771
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Fax |
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Provider Business Mailing Address
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Address Line | 1865 E SEADRIFT DR
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City | WINDSOR
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State | CO
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Zip | 80550-3561
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Country | US
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Telephone | 307-851-3554
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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 | 12364359
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License Number State | CO
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