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General NPI Number Information
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NPI Number | 1326339714
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Entity Type | Individual
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Provider Name | JENNIFER JOYCE STREET M.ED, BCBA
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Gender | Female
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Dates
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Enumeration Date | 04/20/2011
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | 311 NORTH ST STE 406
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City | WHITE PLAINS
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State | NY
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Zip | 10605-2217
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Country | US
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Telephone | 914-381-3781
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Fax |
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Provider Business Mailing Address
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Address Line | 49 STRATFORD RD
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City | HARRISON
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State | NY
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Zip | 10528-1124
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Country | US
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Telephone | 914-381-3781
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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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 |
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License Number State |
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