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General NPI Number Information
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NPI Number | 1215496492
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Entity Type | Individual
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Provider Name | TATIYANNA ALYSSA DUNN BCBA
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Gender | Female
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Dates
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Enumeration Date | 03/18/2019
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Last Update Date | 12/20/2024
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Provider Practice Location Address
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Address Line | 2000 TOWER OAKS BLVD
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City | ROCKVILLE
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State | MD
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Zip | 20852-4282
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Country | US
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Telephone | 301-444-5001
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Fax |
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Provider Business Mailing Address
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Address Line | 11118 RISING MIST BLVD
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City | RIVERVIEW
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State | FL
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Zip | 33578-6125
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Country | US
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Telephone | 813-597-7183
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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 | 0133003977
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License Number State | VA
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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 | LBA2032
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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