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General NPI Number Information
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NPI Number | 1104566371
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Entity Type | Individual
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Provider Name | TESSA TONEY
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Gender | Female
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Dates
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Enumeration Date | 03/29/2022
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Last Update Date | 09/20/2024
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Provider Practice Location Address
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Address Line | 6460 CENTERVILLE BUSINESS PKWY
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City | CENTERVILLE
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State | OH
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Zip | 45459-2633
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Country | US
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Telephone | 937-723-6453
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Fax | 775-392-1245
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Provider Business Mailing Address
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Address Line | 6460 CENTERVILLE BUSINESS PKWY
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City | CENTERVILLE
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State | OH
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Zip | 45459-2633
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Country | US
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Telephone | 937-723-6453
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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 | COBA.01478
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License Number State | OH
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