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General NPI Number Information
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NPI Number | 1457996944
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Entity Type | Individual
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Provider Name | DANIELLE JONES
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Gender | Female
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Dates
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Enumeration Date | 11/08/2019
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 8735 DUNWOODY PL STE 200
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City | ATLANTA
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State | GA
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Zip | 30350-2995
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Country | US
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Telephone | 877-272-8501
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Fax |
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Provider Business Mailing Address
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Address Line | 4347 SMITHGALL CT
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City | UNION CITY
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State | GA
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Zip | 30291-2511
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Country | US
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Telephone | 201-336-2504
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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 | 12258293
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License Number State | GA
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