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General NPI Number Information
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NPI Number | 1376094052
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Entity Type | Individual
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Provider Name | JONI LEE REEVES-WOODRUFF BCBA
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Gender | Female
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Dates
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Enumeration Date | 10/18/2016
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Last Update Date | 11/17/2024
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Provider Practice Location Address
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Address Line | 5814 OLD PASCO RD
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-4011
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Country | US
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Telephone | 908-938-1577
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Fax |
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Provider Business Mailing Address
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Address Line | 28091 WHITE DOVE DR
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City | BROOKSVILLE
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State | FL
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Zip | 34602-7175
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Country | US
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Telephone | 856-503-8004
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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 | 1-16-23294
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License Number State | FL
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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 | 1-16-23294
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License Number State |
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