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General NPI Number Information
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NPI Number | 1104595552
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Entity Type | Individual
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Provider Name | EMMA FRANCES MCKINNEY MED, BCBA
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Gender | Female
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Dates
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Enumeration Date | 09/09/2021
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 200 DOCTORS DR STE J
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City | JACKSONVILLE
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State | NC
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Zip | 28546-6308
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Country | US
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Telephone | 910-294-6481
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Fax |
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Provider Business Mailing Address
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Address Line | 9987 BAY MEADOWS AVE
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City | FAIRHOPE
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State | AL
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Zip | 36532-4717
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Country | US
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Telephone |
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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 | 1-21-52441
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License Number State |
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