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General NPI Number Information
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NPI Number | 1235517467
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Entity Type | Individual
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Provider Name | AMY MARSCHNER BCBA
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Gender | Female
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Dates
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Enumeration Date | 05/07/2015
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Last Update Date | 12/22/2020
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Provider Practice Location Address
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Address Line | 41 OAKBROOKE DR
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City | SHERWOOD
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State | AR
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Zip | 72120-3138
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Country | US
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Telephone | 586-713-9272
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Fax |
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Provider Business Mailing Address
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Address Line | 7546 ANDASOL ST
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City | SAN DIEGO
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State | CA
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Zip | 92126-1017
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Country | US
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Telephone | 586-713-9272
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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 | 1-14-17876
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License Number State | TX
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