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General NPI Number Information
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NPI Number | 1306406517
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Entity Type | Individual
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Provider Name | ADELAIDE BURROW ALLGYER BCBA
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Gender | Female
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Dates
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Enumeration Date | 06/19/2019
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 735 RIDGE LAKE BLVD
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City | MEMPHIS
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State | TN
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Zip | 38120-9402
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Country | US
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Telephone | 901-690-5213
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Fax | 901-422-6303
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Provider Business Mailing Address
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Address Line | 735 RIDGE LAKE BLVD
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City | MEMPHIS
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State | TN
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Zip | 38120-9402
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Country | US
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Telephone | 901-690-5213
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Fax | 901-666-8440
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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 | 1-19-36869
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License Number State | TN
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