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General NPI Number Information
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NPI Number | 1497643324
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Entity Type | Individual
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Provider Name | ATHENA MARIE M FLEURY MS, BCBA, LABA
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Gender | Female
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Dates
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Enumeration Date | 06/27/2025
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Last Update Date | 10/05/2025
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Provider Practice Location Address
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Address Line | 52 FEDERAL AVE
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City | AGAWAM
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State | MA
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Zip | 01001-2121
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Country | US
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Telephone | 413-441-7914
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Fax |
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Provider Business Mailing Address
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Address Line | 10 LLOYD ST
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City | SOUTH HADLEY
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State | MA
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Zip | 01075-2036
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Country | US
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Telephone | 413-885-0749
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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 | LABA4276
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License Number State | MA
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