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General NPI Number Information
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NPI Number | 1457287054
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Entity Type | Individual
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Provider Name | STEPHANIE NICOLE TAYLOR BCBA, LBS
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Gender | Female
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Dates
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Enumeration Date | 06/22/2026
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Last Update Date | 06/22/2026
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Provider Practice Location Address
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Address Line | 329 PENN AVE
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City | SCRANTON
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State | PA
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Zip | 18503-1246
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Country | US
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Telephone | 570-342-4665
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Fax |
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Provider Business Mailing Address
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Address Line | 802 GINO MERLI DR
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City | PECKVILLE
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State | PA
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Zip | 18452-1704
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Country | US
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Telephone | 570-499-1180
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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 | 1-24-70516
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License Number State | PA
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