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General NPI Number Information
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NPI Number | 1336033323
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Entity Type | Individual
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Provider Name | CLARA EATROFF BCBA
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Gender | Female
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Dates
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Enumeration Date | 06/05/2025
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 43 WHITEHALL RD
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-1319
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Country | US
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Telephone | 732-406-2524
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Fax |
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Provider Business Mailing Address
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Address Line | 43 WHITEHALL RD
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-1319
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Country | US
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Telephone | 732-406-2524
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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 | 15BC00143200
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License Number State | NJ
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