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General NPI Number Information
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NPI Number | 1376009860
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Entity Type | Individual
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Provider Name | KELLY A. EDELMAN BCBA
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Gender | Female
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Dates
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Enumeration Date | 02/20/2019
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Last Update Date | 08/01/2024
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Provider Practice Location Address
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Address Line | 660 4TH ST STE 168
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City | SAN FRANCISCO
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State | CA
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Zip | 94107-1618
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Country | US
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Telephone | 415-449-2813
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Fax |
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Provider Business Mailing Address
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Address Line | 8700 PERSHING DRIVE UNIT #2110
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City | PLAYA DEL ROY
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State | CA
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Zip | 90293
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Country | US
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Telephone | 219-669-6916
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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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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-18-33404
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License Number State | CA
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