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General NPI Number Information
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NPI Number | 1255850467
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Entity Type | Individual
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Provider Name | CECILIA DURAN M.A, BCBA, LBA
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Gender | Female
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Dates
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Enumeration Date | 09/19/2017
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Last Update Date | 08/03/2024
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Provider Practice Location Address
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Address Line | 5980 S DURANGO DR
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City | LAS VEGAS
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State | NV
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Zip | 89113-1779
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Country | US
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Telephone | 888-505-1637
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Fax |
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Provider Business Mailing Address
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Address Line | 5980 S DURANGO DR
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City | LAS VEGAS
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State | NV
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Zip | 89113-1779
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Country | US
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Telephone | 702-917-7369
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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 | LBA0876
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License Number State | NV
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