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General NPI Number Information
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NPI Number | 1124709985
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Entity Type | Individual
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Provider Name | YAEL DEVORAH FARKAS MS-BCBA
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Gender | Female
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Dates
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Enumeration Date | 07/26/2023
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Last Update Date | 07/26/2023
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Provider Practice Location Address
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Address Line | 4625 LINDELL BLVD STE 2678
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City | SAINT LOUIS
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State | MO
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Zip | 63108-3725
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Country | US
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Telephone | 347-244-5451
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Fax |
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Provider Business Mailing Address
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Address Line | 7808 DELMAR BLVD
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City | UNIVERSITY CITY
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State | MO
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Zip | 63130-3711
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Country | US
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Telephone | 847-275-4534
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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 | 2023029628
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License Number State | MO
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