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General NPI Number Information
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NPI Number | 1407103336
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Entity Type | Individual
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Provider Name | SUSANNAH FOX BCBA
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Gender | Female
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Dates
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Enumeration Date | 08/09/2012
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 6300 BEE CAVES RD BLDG 2-100
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City | AUSTIN
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State | TX
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Zip | 78746-5842
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Country | US
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Telephone | 512-920-1299
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Fax |
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Provider Business Mailing Address
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Address Line | 5317 F ST
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City | SACRAMENTO
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State | CA
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Zip | 95819-3218
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Country | US
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Telephone | 916-396-3817
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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 | 1107920
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License Number State | CA
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