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General NPI Number Information
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NPI Number | 1376450429
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Entity Type | Individual
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Provider Name | ROBINSON JAVANTI MOORE RBT
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Gender | Male
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | 97 CENTRE AVE
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-7212
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Country | US
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Telephone | 917-944-7991
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Fax |
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Provider Business Mailing Address
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Address Line | 757 E 169TH ST
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City | BRONX
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State | NY
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Zip | 10456-2664
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Country | US
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Telephone | 917-944-7991
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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-26-2834576
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License Number State | NY
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