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General NPI Number Information
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NPI Number | 1265959233
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Entity Type | Individual
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Provider Name | SARA COLLEEN PELIKAN-CATO BCBA
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Gender | Female
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Dates
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Enumeration Date | 08/29/2017
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Last Update Date | 09/06/2024
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Provider Practice Location Address
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Address Line | 355 S MAIN ST STE 2212
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City | GREENVILLE
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State | SC
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Zip | 29601-2923
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Country | US
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Telephone | 610-529-9125
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Fax |
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Provider Business Mailing Address
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Address Line | 355 S MAIN ST STE 2212
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City | GREENVILLE
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State | SC
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Zip | 29601-2923
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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 | 1-16-23915
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License Number State |
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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 | 106E500000X
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License Number State | SC
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