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General NPI Number Information
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NPI Number | 1497419329
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Entity Type | Individual
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Provider Name | NOEL LAFRATTA BCABA, BCBA
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Gender | Female
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Dates
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Enumeration Date | 10/27/2021
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 9815 CROSS PINE CT
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City | LAKE WORTH
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State | FL
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Zip | 33467-2367
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Country | US
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Telephone | 845-988-7705
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Fax |
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Provider Business Mailing Address
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Address Line | 2025 SW MONTERREY LN
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34953-2030
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Country | US
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Telephone | 845-988-7705
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number | 0-22-14150
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | 19-78734
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-24-76383
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License Number State | FL
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