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General NPI Number Information
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NPI Number | 1437046075
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Entity Type | Individual
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Provider Name | YAMILKA TATIANA MALONE BATISTA
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Gender | Female
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 430 ROPER MOUNTAIN RD UNIT 440-A
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City | GREENVILLE
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State | SC
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Zip | 29615-4236
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Country | US
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Telephone | 864-204-0440
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Fax |
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Provider Business Mailing Address
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Address Line | 200 ASHE DR APT B5
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City | GREENVILLE
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State | SC
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Zip | 29617-3262
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Country | US
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Telephone | 787-466-2530
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-25-426536
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License Number State | SC
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