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General NPI Number Information
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NPI Number | 1124371554
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Entity Type | Individual
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Provider Name | JENNIFER MIGHT BCBA
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Gender | Female
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Dates
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Enumeration Date | 10/23/2012
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Last Update Date | 10/23/2012
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Provider Practice Location Address
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Address Line | 21337 DRAKE RD STE A
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City | STRONGSVILLE
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State | OH
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Zip | 44149-6601
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Country | US
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Telephone | 440-572-1337
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Fax |
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Provider Business Mailing Address
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Address Line | 27302 MAURER DR
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City | OLMSTED TWP
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State | OH
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Zip | 44138-1781
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Country | US
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Telephone | 440-427-9410
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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 | 1-06-3130
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License Number State | OH
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