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General NPI Number Information
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NPI Number | 1447474093
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Entity Type | Organization
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Legal Business Name | CHILD BEHAVIOR THERAPY ASSOCIATES, LLP
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 11/22/2023
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Provider Practice Location Address
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Address Line | 14 LESLIE PLACE
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City | NEW ROCHELLE
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State | NY
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Zip | 10804
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Country | US
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Telephone | 914-235-2800
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Fax | 914-417-4932
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Provider Business Mailing Address
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Address Line | 14 LESLIE PLACE
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City | NEW ROCHELLE
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State | NY
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Zip | 10804
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Country | US
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Telephone | 914-235-2800
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Fax | 914-417-4932
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST/PARTNER
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Name | DR. GRACE R KALFUS
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Credential | PHD
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Telephone | 914-235-2800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 010058-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 008211-1
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License Number State | NY
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