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General NPI Number Information
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NPI Number | 1366354417
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Entity Type | Individual
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Provider Name | KAIRI JEDZIAH PADILLA
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Gender | Female
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Dates
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Enumeration Date | 09/22/2026
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Last Update Date | 09/22/2026
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Provider Practice Location Address
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Address Line | 148 ROBERTS VILLAGE CT STE 1301
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City | SAINT JOHNS
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State | FL
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Zip | 32259-9582
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Country | US
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Telephone | 904-701-2112
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Fax | 904-789-5759
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Provider Business Mailing Address
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Address Line | 8649 A C SKINNER PKWY APT 1211
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City | JACKSONVILLE
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State | FL
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Zip | 32256-7888
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Country | US
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Telephone | 904-701-2112
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Fax | 904-789-5759
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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 | RBT-26-2840877
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License Number State | FL
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