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General NPI Number Information
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NPI Number | 1073395539
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Entity Type | Individual
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Provider Name | LUCAS PRATT BCBA, LBA
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Gender | Male
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Dates
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Enumeration Date | 10/19/2023
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Last Update Date | 07/05/2025
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Provider Practice Location Address
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Address Line | 3040 AVEMORE SQUARE PL
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22911-7228
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Country | US
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Telephone | 434-220-0089
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Fax | 434-220-0103
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Provider Business Mailing Address
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Address Line | 485 HILLSDALE DR STE 306
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901-5734
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Country | US
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Telephone | 434-326-1200
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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 | 0133003274
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License Number State | VA
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