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General NPI Number Information
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NPI Number | 1407273394
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Entity Type | Individual
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Provider Name | JULIE GERMINO M.ED., BCBA, LBA
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Gender | Female
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Dates
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Enumeration Date | 03/28/2014
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Last Update Date | 09/26/2023
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Provider Practice Location Address
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Address Line | 185 E 85TH ST APT 24A
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City | NEW YORK
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State | NY
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Zip | 10028-2147
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Country | US
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Telephone | 631-805-3642
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Fax |
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Provider Business Mailing Address
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Address Line | 185 E 85TH ST APT 24A
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City | NEW YORK
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State | NY
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Zip | 10028-2147
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Country | US
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Telephone | 631-805-3642
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 676724121
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 676571121
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 676570121
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 001865-01
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License Number State | NY
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