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General NPI Number Information
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NPI Number | 1104746957
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Entity Type | Individual
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Provider Name | EVELYNNE MARNIELLE SAINT-VAL RBT
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Gender | Female
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Dates
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Enumeration Date | 07/20/2026
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Last Update Date | 07/20/2026
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Provider Practice Location Address
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Address Line | 3180 MAIN ST STE G1
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City | BRIDGEPORT
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State | CT
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Zip | 06606-4237
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Country | US
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Telephone | 877-222-0399
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Fax |
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Provider Business Mailing Address
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Address Line | 47 ROSLYN TER
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City | BRIDGEPORT
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State | CT
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Zip | 06606-2841
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Country | US
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Telephone | 203-360-7989
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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 | RBT-26-508620
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License Number State | CT
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