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General NPI Number Information
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NPI Number | 1396698932
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Entity Type | Individual
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Provider Name | KRISTINA MARCELLA HINES BCBA, QBA
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Gender | Female
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Dates
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Enumeration Date | 02/16/2026
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 1649 61ST ST FL 3013
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City | BROOKLYN
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State | NY
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Zip | 11204-2746
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Country | US
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Telephone | 212-481-4040
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Fax | 212-414-4660
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Provider Business Mailing Address
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Address Line | 10279 MORNING MIST LN
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City | SARASOTA
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State | FL
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Zip | 34241-1512
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Country | US
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Telephone | 212-481-4040
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number | 1-25-83140
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License Number State | FL
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