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General NPI Number Information
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NPI Number | 1114434974
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Entity Type | Individual
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Provider Name | JAMES HARRISON GASBARRO BCBA
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Gender | Male
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Dates
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Enumeration Date | 01/02/2018
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Last Update Date | 07/06/2023
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Provider Practice Location Address
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Address Line | 3541 CHAIN BRIDGE RD STE 204
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City | FAIRFAX
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State | VA
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Zip | 22030-2793
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Country | US
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Telephone | 850-368-2746
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Fax |
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Provider Business Mailing Address
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Address Line | 11177 W 8TH AVE STE 121
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City | LAKEWOOD
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State | CO
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Zip | 80215-5520
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Country | US
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Telephone | 850-368-2746
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number | 0-19-9827
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License Number State | CO
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Taxonomy #2
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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 #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-21-52579
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License Number State | CO
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