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General NPI Number Information
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NPI Number | 1194993246
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Entity Type | Individual
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Provider Name | ADRIANA G MORALES PSYD, BCBA-D, LBA
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Gender | Female
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Dates
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Enumeration Date | 02/12/2008
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Last Update Date | 06/21/2022
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Provider Practice Location Address
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Address Line | 11121 KINGSTON PIKE STE F
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City | KNOXVILLE
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State | TN
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Zip | 37934-2864
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Country | US
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Telephone | 855-324-0885
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Fax | 317-520-8200
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Provider Business Mailing Address
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Address Line | 3500 DEPAUW BLVD STE 3070
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City | INDIANAPOLIS
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State | IN
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Zip | 46268-6135
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Country | US
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Telephone | 855-324-0885
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Fax | 317-520-8200
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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 | 1-05-2361
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License Number State | TN
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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 | 821
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | BCBA 1-05-2361
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2998
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License Number State | TN
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