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General NPI Number Information
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NPI Number | 1346475480
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Entity Type | Individual
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Provider Name | AMANDA ARMSTRONG RANDALL BCBA-D, LBA
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Gender | Female
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Dates
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Enumeration Date | 05/19/2009
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Last Update Date | 07/31/2023
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Provider Practice Location Address
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Address Line | 1210 KING EDWARDS WAY UNIT 1
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City | HARRISONBURG
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State | VA
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Zip | 22801-7369
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Country | US
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Telephone | 252-258-6068
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Fax |
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Provider Business Mailing Address
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Address Line | 15 SPRING ST UNIT 1
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City | NATICK
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State | MA
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Zip | 01760
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Country | US
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Telephone |
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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 |
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License Number State |
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