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General NPI Number Information
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NPI Number | 1053883264
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Entity Type | Individual
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Provider Name | ASPEN HAYLEY WILTROUT
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Gender | Female
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Dates
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Enumeration Date | 12/28/2018
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 770 NEWTOWN YARDLEY RD STE 212
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City | NEWTOWN
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State | PA
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Zip | 18940-4501
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Country | US
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Telephone | 267-326-8130
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Fax |
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Provider Business Mailing Address
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Address Line | 242 SUMMIT TRACE RD
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City | LANGHORNE
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State | PA
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Zip | 19047-1069
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Country | US
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Telephone | 215-400-0183
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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 | 1-18-33021
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License Number State | PA
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