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General NPI Number Information
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NPI Number | 1124995972
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Entity Type | Individual
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Provider Name | BRITTANY JEWEL BAILEY RBT
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Gender | Female
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Dates
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Enumeration Date | 10/17/2025
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 7980 N COUNTY ROAD 583 E
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City | GRANDVIEW
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State | IN
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Zip | 47615-9579
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Country | US
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Telephone | 850-464-8994
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Fax |
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Provider Business Mailing Address
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Address Line | 7980 N COUNTY ROAD 583 E
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City | GRANDVIEW
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State | IN
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Zip | 47615-9579
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Country | US
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Telephone | 850-464-8994
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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 | RBT-25-473480
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License Number State | IN
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