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General NPI Number Information
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NPI Number | 1134729569
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Entity Type | Individual
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Provider Name | SAVANNAH LEE CORR BCBA
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Gender | Female
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Dates
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Enumeration Date | 10/26/2020
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Last Update Date | 08/31/2023
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Provider Practice Location Address
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Address Line | 7200 S ALTON WAY STE A100
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City | CENTENNIAL
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State | CO
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Zip | 80112-2207
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Country | US
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Telephone | 303-949-3470
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 399318
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City | SAN FRANCISCO
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State | CA
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Zip | 94139-9318
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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 |
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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-19-75465
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-21-51384
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License Number State | GA
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