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General NPI Number Information
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NPI Number | 1154937084
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Entity Type | Individual
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Provider Name | ASHLEY RENEE PILATO M.S., BCBA
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Gender | Female
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Dates
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Enumeration Date | 09/16/2020
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 277 GA-74 SUITE 107-109
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City | PEACHTREE CITY
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State | GA
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Zip | 30269
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Country | US
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Telephone | 678-833-0058
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Fax |
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Provider Business Mailing Address
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Address Line | 1138 BURGUNDY DR
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City | GRIFFIN
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State | GA
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Zip | 30223-1196
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Country | US
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Telephone | 678-554-6547
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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 | 1-23-69391
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License Number State | GA
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