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General NPI Number Information
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NPI Number | 1316674716
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Entity Type | Individual
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Provider Name | BRANDY KATHERINE ALEXANDER BCBA
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Gender | Female
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Dates
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Enumeration Date | 08/04/2022
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 875 N MICHIGAN AVE FL 31
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City | CHICAGO
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State | IL
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Zip | 60611-1962
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Country | US
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Telephone | 833-599-2560
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Fax |
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Provider Business Mailing Address
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Address Line | 728 W WAVELAND AVE APT 1
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City | CHICAGO
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State | IL
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Zip | 60613-4175
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Country | US
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Telephone | 760-644-5751
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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 | 152.002712
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License Number State | IL
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