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NPI 1083283030

NPI 1083283030 : EMILY DUNN BCBA : FREMONT, CA

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General NPI Number Information
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    NPI Number           |    1083283030
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    Entity Type          |    Individual 
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    Provider Name        |    EMILY DUNN BCBA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/23/2021
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    Last Update Date     |    08/13/2025
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Provider Practice Location Address
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    Address Line         |    39180 LIBERTY ST STE 205 
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    City                 |    FREMONT
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    State                |    CA
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    Zip                  |    94538-2586
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    Country              |    US
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    Telephone            |    510-439-0657
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2902 SADDLEWOOD DR 
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    City                 |    PLOVER
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    State                |    WI
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    Zip                  |    54467-3870
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    Country              |    US
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    Telephone            |    630-364-6343
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    Fax                  |    833-216-6563
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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       |    1080-140
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    License Number State |    WI
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