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General NPI Number Information
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NPI Number | 1447700273
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Entity Type | Individual
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Provider Name | KAYLEY SANGER PHD, BCBA-D
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Gender | Female
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Dates
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Enumeration Date | 10/05/2016
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 7400 BEAUFONT SPRINGS DR STE 300
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23225-5519
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Country | US
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Telephone | 888-436-8836
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Fax | 860-955-1611
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Provider Business Mailing Address
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Address Line | 1118 E GADSDEN ST UNIT B
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City | PENSACOLA
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State | FL
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Zip | 32501-4126
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Country | US
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Telephone | 614-282-9895
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 2379
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 631181
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License Number State | MS
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Taxonomy #4
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 0810008257
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License Number State | VA
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