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General NPI Number Information
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NPI Number | 1215295415
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Entity Type | Individual
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Provider Name | BRITTANY KRISTINE JOHNSON BCABA
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Gender | Female
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Dates
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Enumeration Date | 04/25/2012
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Last Update Date | 06/09/2020
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Provider Practice Location Address
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Address Line | 2905 S FEDERAL HWY STE C8
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City | DELRAY BEACH
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State | FL
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Zip | 33483-3267
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Country | US
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Telephone | 954-257-0696
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Fax | 954-206-0827
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Provider Business Mailing Address
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Address Line | 2905 S FEDERAL HWY STE C8
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City | DELRAY BEACH
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State | FL
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Zip | 33483-3267
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Country | US
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Telephone | 954-257-0696
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Fax | 954-206-0827
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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 | 0-12-4442
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License Number State | FL
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