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General NPI Number Information
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NPI Number | 1033983606
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Entity Type | Individual
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Provider Name | CAREN KANGAS BCBA
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Gender | Female
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Dates
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Enumeration Date | 11/14/2023
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Last Update Date | 11/14/2023
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Provider Practice Location Address
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Address Line | 2923 N MILWAUKEE AVE UNIT 306
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City | CHICAGO
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State | IL
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Zip | 60618-7886
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Country | US
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Telephone | 773-217-0478
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Fax |
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Provider Business Mailing Address
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Address Line | 9 RIMMON RD
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City | WOODBRIDGE
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State | CT
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Zip | 06525-2001
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Country | US
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Telephone | 203-954-8389
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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 |
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License Number State |
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