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General NPI Number Information
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NPI Number | 1073109716
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Entity Type | Individual
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Provider Name | COURTNEY LYNN KANE BCBA
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Gender | Female
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Dates
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Enumeration Date | 12/16/2020
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 202 S GAMMON RD STE 200
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City | MADISON
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State | WI
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Zip | 53717-1477
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Country | US
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Telephone | 833-646-3222
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Fax |
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Provider Business Mailing Address
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Address Line | 21 N BROOKSIDE DR
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City | ROCKAWAY
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State | NJ
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Zip | 07866-1029
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Country | US
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Telephone | 973-981-0769
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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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