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General NPI Number Information
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NPI Number | 1295096113
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Entity Type | Individual
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Provider Name | ALICIA ALLGOOD BCBA, LBA, ASW
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Gender | Female
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Dates
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Enumeration Date | 06/07/2012
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 85 DELANCEY ST FL 2
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City | NEW YORK
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State | NY
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Zip | 10002-3182
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Country | US
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Telephone | 917-684-1673
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Fax |
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Provider Business Mailing Address
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Address Line | 2600 VAN NESS AVE APT 501
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-1613
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Country | US
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Telephone | 917-684-1673
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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 | 001304
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 130195
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License Number State | CA
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