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General NPI Number Information
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NPI Number | 1174869440
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Entity Type | Individual
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Provider Name | KIMBERLY ERIN ROBICHAUX BCBA
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Gender | Female
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Dates
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Enumeration Date | 12/14/2012
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 1817 COMMONS CIR
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City | YUKON
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State | OK
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Zip | 73099-9505
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Country | US
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Telephone | 405-467-6782
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Fax |
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Provider Business Mailing Address
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Address Line | 917 CAINES HILL RD
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City | EDMOND
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State | OK
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Zip | 73034-2303
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Country | US
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Telephone | 405-315-4599
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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 | 1-12-12683
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License Number State | OK
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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 | 1-12-12683
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License Number State | TX
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