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General NPI Number Information
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NPI Number | 1538575311
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Entity Type | Individual
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Provider Name | JOSSELYN ENSOR MS ED, BCBA, LBA
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Gender | Female
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Dates
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Enumeration Date | 07/01/2014
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Last Update Date | 08/21/2023
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Provider Practice Location Address
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Address Line | 164 ALYMER CT
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City | WESTMINSTER
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State | MD
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Zip | 21157-6361
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Country | US
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Telephone | 432-039-7074
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Fax | 877-940-2717
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Provider Business Mailing Address
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Address Line | 164 ALYMER CT
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City | WESTMINSTER
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State | MD
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Zip | 21157-6361
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Country | US
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Telephone | 443-203-9707
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Fax | 877-940-2717
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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 | 1-14-15488
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License Number State |
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