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General NPI Number Information
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NPI Number | 1083580351
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Entity Type | Individual
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Provider Name | GRACE BOYLE BCBA; LBA
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Gender | Female
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Dates
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Enumeration Date | 10/14/2025
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 26 OLIPHANT LN
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City | MIDDLETOWN
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State | RI
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Zip | 02842-4659
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Country | US
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Telephone | 401-849-2122
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Fax | 401-849-0202
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Provider Business Mailing Address
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Address Line | 70 ROSEMARY DR
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City | NORTH KINGSTOWN
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State | RI
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Zip | 02852-1811
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Country | US
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Telephone | 269-370-8703
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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 | LBA00494
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License Number State | RI
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