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General NPI Number Information
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NPI Number | 1245752401
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Entity Type | Individual
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Provider Name | EMMA AUTEN BCBA-D
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Gender | Female
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Dates
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Enumeration Date | 07/10/2017
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Last Update Date | 06/28/2023
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Provider Practice Location Address
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Address Line | 888 EASTON AVE
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City | SOMERSET
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State | NJ
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Zip | 08873-1898
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Country | US
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Telephone | 848-800-8517
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Fax |
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Provider Business Mailing Address
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Address Line | 1816 MADISON AVE
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City | GREENSBORO
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State | NC
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Zip | 27403-1706
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Country | US
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Telephone |
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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 | 1-23-65013
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License Number State | NJ
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