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General NPI Number Information
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NPI Number | 1427540244
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Entity Type | Individual
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Provider Name | DANIELLE ALEXANDRA CELLURA MA, BCBA, LBA
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Gender | Female
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Dates
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Enumeration Date | 06/06/2018
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Last Update Date | 03/04/2023
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Provider Practice Location Address
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Address Line | 9330 LBJ FWY STE 900
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City | DALLAS
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State | TX
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Zip | 75243-3443
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Country | US
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Telephone | 877-264-6747
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Fax |
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Provider Business Mailing Address
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Address Line | 1663 MISSION ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94103-2400
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Country | US
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Telephone | 877-264-6747
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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 | 1-18-29965
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License Number State | IN
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