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General NPI Number Information
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NPI Number | 1093385270
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Entity Type | Individual
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Provider Name | SETH ALEXANDER RIVETTI-SHARPE MA, BCBA, COBA, LBA
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Gender | Male
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Dates
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Enumeration Date | 06/29/2021
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 117 HEALTH SCIENCES BLDG 3640 COLONEL GLENN HWY
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City | DAYTON
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State | OH
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Zip | 45435-6743
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Country | US
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Telephone | 937-775-3458
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Fax |
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Provider Business Mailing Address
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Address Line | 2721 TAOS DR
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City | MIAMISBURG
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State | OH
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Zip | 45342-6800
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Country | US
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Telephone | 812-374-7290
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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 | 493
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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 | 0133002563
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | COBA.00994
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-21-51007
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License Number State |
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