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General NPI Number Information
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NPI Number | 1114878030
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Entity Type | Organization
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Legal Business Name | CIRCLECITY ABA
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Dates
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Enumeration Date | 02/06/2026
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 2330 S DIXON RD STE 350
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City | KOKOMO
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State | IN
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Zip | 46902-6430
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Country | US
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Telephone | 317-813-9745
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Fax |
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Provider Business Mailing Address
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Address Line | 833 S WASHINGTON ST APT 2
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City | KOKOMO
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State | IN
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Zip | 46901-5347
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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 | RBT
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Name | SHATERRA DALINDA WILSON
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Credential |
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Telephone | 765-431-0908
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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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