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General NPI Number Information
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NPI Number | 1356147227
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Entity Type | Individual
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Provider Name | KRISHONNA DANIELS
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Gender | Female
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Dates
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Enumeration Date | 02/21/2025
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 6302 WESTWARD WOOD WAY
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City | HUMBLE
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State | TX
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Zip | 77338-1581
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Country | US
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Telephone | 850-570-3913
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Fax |
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Provider Business Mailing Address
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Address Line | 231 INTERSTATE 45 N APT 21817
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City | CONROE
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State | TX
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Zip | 77304-2329
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | 23-305451
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License Number State | TX
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