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General NPI Number Information
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NPI Number | 1134846751
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Entity Type | Individual
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Provider Name | BRITTANY CHIASSON MA, BCBA
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Gender | Female
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Dates
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Enumeration Date | 10/24/2022
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Last Update Date | 06/09/2023
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Provider Practice Location Address
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Address Line | 225 BROADWAY STE 2710
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City | NEW YORK
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State | NY
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Zip | 10007-3032
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Country | US
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Telephone | 646-600-8456
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Fax |
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Provider Business Mailing Address
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Address Line | 4557 DAVIS ST APT 817
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101-6385
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Country | US
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Telephone | 985-513-2694
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-19-35249
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License Number State | NY
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