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General NPI Number Information
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NPI Number | 1477473684
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Entity Type | Individual
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Provider Name | ONIAH JENSEN RBT
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Gender | Female
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Dates
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Enumeration Date | 07/17/2026
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Last Update Date | 07/17/2026
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Provider Practice Location Address
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Address Line | 1521 LAKE CREST CIR
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City | COOKEVILLE
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State | TN
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Zip | 38506-5943
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Country | US
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Telephone | 931-280-1044
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Fax | 888-830-7099
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Provider Business Mailing Address
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Address Line | 1652 DELLWOOD AVE
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City | COOKEVILLE
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State | TN
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Zip | 38506-4147
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Country | US
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Telephone | 931-881-7515
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | TN
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