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General NPI Number Information
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NPI Number | 1487586566
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Entity Type | Individual
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Provider Name | SYDNEY ANNE WHITE M. ED, BCBA
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Gender |
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Dates
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Enumeration Date | 06/02/2026
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Last Update Date | 06/02/2026
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Provider Practice Location Address
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Address Line | 2760 AIRPORT DR STE D
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City | COLUMBUS
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State | OH
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Zip | 43219-2284
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Country | US
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Telephone | 614-741-6261
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 CLUBVIEW BLVD S
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City | COLUMBUS
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State | OH
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Zip | 43235-1633
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Country | US
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Telephone |
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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 | 1-26-90316
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License Number State | OH
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