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NPI 1184215055

NPI 1184215055 : MARIA VARGAS PINEDA : ATLANTA, GA

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General NPI Number Information
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    NPI Number           |    1184215055
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    Entity Type          |    Individual 
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    Provider Name        |    MARIA VARGAS PINEDA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/02/2021
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    Last Update Date     |    09/02/2025
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Provider Practice Location Address
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    Address Line         |    1410 CUSTER AVE SE 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30316-3304
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    Country              |    US
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    Telephone            |    855-772-8847
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    325 HUDSON AVE 
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    City                 |    ONEONTA
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    State                |    AL
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    Zip                  |    35121-2335
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    Country              |    US
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    Telephone            |    205-353-5931
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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       |    1-24-71369
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    21-150497
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    License Number State |    FL
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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       |    1-24-71369
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    License Number State |    GA
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