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General NPI Number Information
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NPI Number | 1407293087
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Entity Type | Individual
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Provider Name | ALLANA D. LUQUETTE MA, BCBA
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Gender | Female
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Dates
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Enumeration Date | 05/23/2013
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Last Update Date | 05/23/2013
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Provider Practice Location Address
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Address Line | 880 6TH ST S
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City | ST PETERSBURG
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State | FL
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Zip | 33701-4827
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Country | US
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Telephone | 727-767-2324
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Fax |
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Provider Business Mailing Address
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Address Line | 8824 39TH STREET CIR E
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City | PARRISH
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State | FL
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Zip | 34219-2210
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Country | US
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Telephone |
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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 | 1-05-2326
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License Number State | FL
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