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General NPI Number Information
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NPI Number | 1528549235
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Entity Type | Individual
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Provider Name | ROSE EVANS BCBA
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Gender | Female
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Dates
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Enumeration Date | 08/22/2018
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 363 VANADIUM RD STE 300
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City | PITTSBURGH
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State | PA
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Zip | 15243-1477
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Country | US
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Telephone | 412-489-6357
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Fax |
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Provider Business Mailing Address
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Address Line | 124 VIRGINIA AVE APT 2
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City | MT WASHINGTON
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State | PA
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Zip | 15211-1612
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Country | US
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Telephone | 609-204-3758
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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 | BH007803
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License Number State | PA
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