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General NPI Number Information
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NPI Number | 1053782979
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Entity Type | Individual
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Provider Name | CLARA MARIE FOSTER M.S., BCBA
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Gender | Female
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Dates
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Enumeration Date | 10/19/2015
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Last Update Date | 07/26/2022
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Provider Practice Location Address
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Address Line | 10551 BARKLEY ST STE 205
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City | OVERLAND PARK
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State | KS
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Zip | 66212-1812
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Country | US
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Telephone | 913-213-0676
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Fax |
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Provider Business Mailing Address
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Address Line | 8808 W 124TH ST APT 56
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City | OVERLAND PARK
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State | KS
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Zip | 66213-1726
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Country | US
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Telephone | 785-917-1306
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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 | 1-18-31892
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License Number State |
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