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General NPI Number Information
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NPI Number | 1053903872
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Entity Type | Individual
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Provider Name | CASSANDRA ELISABETH BARRON
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Gender | Female
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Dates
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Enumeration Date | 02/04/2021
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 20 APPEAL LN
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City | LUSBY
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State | MD
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Zip | 20657-2935
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Country | US
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Telephone | 410-394-0681
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Fax |
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Provider Business Mailing Address
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Address Line | 9011 MICHAEL WAY
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City | OWINGS
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State | MD
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Zip | 20736-9554
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Country | US
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Telephone | 918-399-8737
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | BACB650820
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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