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General NPI Number Information
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NPI Number | 1225989130
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Entity Type | Individual
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Provider Name | JASON ZEWATSKY BCBA, LBA
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Gender | Male
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Dates
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Enumeration Date | 02/05/2026
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Last Update Date | 02/08/2026
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Provider Practice Location Address
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Address Line | 32969 HAMILTON CT. E SUITE 138D PMB 1036
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-3351
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Country | US
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Telephone | 248-264-3701
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Fax |
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Provider Business Mailing Address
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Address Line | 32969 HAMILTON CT. E SUITE 138D PMB 1036
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-3351
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Country | US
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Telephone | 248-264-3701
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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 | 7401003202
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License Number State | MI
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