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General NPI Number Information
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NPI Number | 1467065888
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Entity Type | Individual
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Provider Name | LAURA GIANIOTIS BCBA
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Gender | Female
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Dates
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Enumeration Date | 08/25/2020
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Last Update Date | 08/25/2020
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Provider Practice Location Address
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Address Line | 1400 OLD COUNTRY RD
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City | WESTBURY
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State | NY
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Zip | 11590-5156
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Country | US
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Telephone | 151-680-6696
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Fax |
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Provider Business Mailing Address
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Address Line | 24 BUICK DR
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City | SELDEN
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State | NY
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Zip | 11784-1812
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Country | US
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Telephone | 631-332-7924
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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 | 1-20-41936
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License Number State | NY
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