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General NPI Number Information
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NPI Number | 1366015661
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Entity Type | Individual
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Provider Name | AUTUMN PERKINS RBT
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Gender | Female
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Dates
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Enumeration Date | 07/23/2021
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 2916 PEACH BLOSSOM DR
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City | JEFFERSONVILLE
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State | IN
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Zip | 47130-8380
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Country | US
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Telephone | 812-202-6144
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Fax |
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Provider Business Mailing Address
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Address Line | 2424 ADDMORE LN LOT 28
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City | CLARKSVILLE
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State | IN
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Zip | 47129-9173
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Country | US
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Telephone | 502-409-1886
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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 | RBT-21-176793
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License Number State | IN
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