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General NPI Number Information
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NPI Number | 1457276453
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Entity Type | Individual
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Provider Name | YASMIN BARADAR
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Gender | Female
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Dates
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Enumeration Date | 08/11/2026
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Last Update Date | 08/11/2026
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Provider Practice Location Address
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Address Line | 545 OLD NORCROSS RD STE 200A
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-3389
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Country | US
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Telephone | 470-294-1002
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Fax |
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Provider Business Mailing Address
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Address Line | 6757 PRINCETON PARK WALK
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City | LITHONIA
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State | GA
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Zip | 30058-7033
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Country | US
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Telephone | 404-940-3093
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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 | 1-26-2838561
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License Number State | GA
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