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General NPI Number Information
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NPI Number | 1124882576
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Entity Type | Individual
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Provider Name | ALEXA CAROLINE WOFFORD RBT
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Gender | Female
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Dates
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Enumeration Date | 02/07/2024
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 2808 FOX MEADOW LN
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City | JONESBORO
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State | AR
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Zip | 72404-9346
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Country | US
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Telephone | 870-335-2240
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Fax | 870-931-4457
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Provider Business Mailing Address
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Address Line | 2808 FOX MEADOW LN
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City | JONESBORO
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State | AR
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Zip | 72404-9346
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Country | US
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Telephone | 870-335-2240
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Fax | 870-931-4457
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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-23-273651
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License Number State | AR
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