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General NPI Number Information
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NPI Number | 1073049110
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Entity Type | Individual
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Provider Name | JADE ALFORD MA, BCBA
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Gender | Female
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Dates
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Enumeration Date | 05/10/2017
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Last Update Date | 11/08/2025
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Provider Practice Location Address
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Address Line | 3409 TERRY LN
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City | GREENSBORO
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State | NC
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Zip | 27405-3043
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Country | US
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Telephone | 919-937-2265
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Fax |
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Provider Business Mailing Address
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Address Line | 3409 TERRY LN
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City | GREENSBORO
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State | NC
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Zip | 27405-3043
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Country | US
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Telephone | 336-404-4457
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Fax | 224-267-8148
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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 | 582
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-22-59625
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License Number State | NC
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