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General NPI Number Information
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NPI Number | 1104264696
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Entity Type | Individual
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Provider Name | LEIF ERIK NIELSEN CABI
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Gender | Male
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Dates
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Enumeration Date | 06/06/2013
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 2435 PYRAMID WAY STE B
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City | SPARKS
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State | NV
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Zip | 89431-1865
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Country | US
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Telephone | 775-657-8309
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Fax |
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Provider Business Mailing Address
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Address Line | 1566 WILDRYE DR
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City | RENO
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State | NV
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Zip | 89509-6904
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Country | US
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Telephone | 775-400-7697
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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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 | CABIT042513
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License Number State | NV
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