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General NPI Number Information
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NPI Number | 1205740545
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Entity Type | Individual
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Provider Name | JOANNE E SLEZAK BCBA, LBA
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Gender | Female
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Dates
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Enumeration Date | 10/02/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 234 LINCOLN ST
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City | GLOVERSVILLE
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State | NY
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Zip | 12078-1935
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Country | US
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Telephone | 518-775-5788
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Fax |
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Provider Business Mailing Address
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Address Line | 5404 JOCKEY ST
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City | GALWAY
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State | NY
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Zip | 12074-2026
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Country | US
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Telephone | 518-775-5742
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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 | 004349
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License Number State | NY
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