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General NPI Number Information
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NPI Number | 1194267674
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Entity Type | Individual
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Provider Name | ALYSSA STEELE BCBA
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Gender | Female
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Dates
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Enumeration Date | 11/15/2016
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Last Update Date | 11/15/2016
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Provider Practice Location Address
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Address Line | 5351C JAYCEE AVE
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City | HARRISBURG
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State | PA
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Zip | 17112-2997
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Country | US
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Telephone | 717-657-2080
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Fax | 717-657-2290
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Provider Business Mailing Address
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Address Line | 625 W ELM AVE
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City | HANOVER
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State | PA
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Zip | 17331-5125
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Country | US
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Telephone | 717-632-4900
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Fax | 717-632-1942
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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 | 1-16-21951
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License Number State | PA
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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 | BH003268
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License Number State | PA
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