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General NPI Number Information
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NPI Number | 1447806708
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Entity Type | Individual
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Provider Name | SHANEXA ESPINAL BCBA, LBA
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Gender | Female
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Dates
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Enumeration Date | 08/13/2019
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 2511 UNION ST APT 6D
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City | FLUSHING
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State | NY
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Zip | 11354-1264
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Country | US
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Telephone | 646-204-5999
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Fax |
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Provider Business Mailing Address
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Address Line | 1704 OCEAN AVE APT 6C
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City | BROOKLYN
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State | NY
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Zip | 11230-5780
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Country | US
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Telephone | 305-877-0502
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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 | 004602
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License Number State | NY
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