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General NPI Number Information
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NPI Number | 1407255979
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Entity Type | Individual
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Provider Name | LAYLA ABBY SUMP PH.D., BCBA-D, LBA
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Gender | Female
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Dates
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Enumeration Date | 08/20/2014
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Last Update Date | 03/23/2022
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Provider Practice Location Address
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Address Line | 6135 SUMMER PARK LN
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City | ALEXANDRIA
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State | VA
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Zip | 22315-5223
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Country | US
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Telephone | 256-452-3011
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Fax |
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Provider Business Mailing Address
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Address Line | 6135 SUMMER PARK LN
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City | ALEXANDRIA
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State | VA
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Zip | 22315-5223
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Country | US
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Telephone | 256-452-3011
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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 | 1-12-12551
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License Number State |
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