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General NPI Number Information
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NPI Number | 1497423925
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Entity Type | Individual
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Provider Name | JENNIFER O'BRIEN
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Gender | Female
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Dates
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Enumeration Date | 08/31/2021
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 122 CRANBROOK RD STE 36
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City | COCKEYSVILLE
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State | MD
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Zip | 21030-3405
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Country | US
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Telephone | 855-782-7822
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Fax |
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Provider Business Mailing Address
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Address Line | 9 LATIMORE CT
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City | REISTERSTOWN
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State | MD
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Zip | 21136-2438
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Country | US
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Telephone | 410-370-0068
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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 | LBA1093
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License Number State | MD
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