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General NPI Number Information
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NPI Number | 1528217312
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Entity Type | Individual
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Provider Name | ELENA MARIE ALI MS.ED, BCBA, LBA
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Gender | Female
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Dates
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Enumeration Date | 09/16/2008
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Last Update Date | 03/29/2021
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Provider Practice Location Address
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Address Line | 908 SALISBURY GRN
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-6123
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Country | US
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Telephone | 757-406-7397
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Fax |
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Provider Business Mailing Address
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Address Line | 908 SALISBURY GRN
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-6123
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Country | US
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Telephone | 757-406-7397
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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 | 0133001900
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | LBA752
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License Number State | MD
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