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General NPI Number Information
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NPI Number | 1205396314
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Entity Type | Individual
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Provider Name | ESTHER SPIRA MSED BCBA
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Gender | Female
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Dates
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Enumeration Date | 03/23/2019
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 1166 RIVER AVE
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City | LAKEWOOD
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State | NJ
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Zip | 08701-5677
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Country | US
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Telephone | 732-965-6444
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Fax |
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Provider Business Mailing Address
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Address Line | 52 NEWBURY RD
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City | HOWELL
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State | NJ
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Zip | 07731-2164
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Country | US
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Telephone | 848-210-4308
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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 | 11833329
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License Number State | NJ
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