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General NPI Number Information
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NPI Number | 1437028651
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Entity Type | Individual
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Provider Name | JESSICA HUBBARD
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Gender | Female
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Dates
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Enumeration Date | 11/04/2025
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 190 WELLES ST STE 120
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City | FORTY FORT
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State | PA
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Zip | 18704-4969
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Country | US
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Telephone | 833-867-8371
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Fax | 412-368-2701
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Provider Business Mailing Address
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Address Line | 35 HILLTOP DR
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City | TUNKHANNOCK
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State | PA
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Zip | 18657-6605
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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 | BH006075
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License Number State | PA
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