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General NPI Number Information
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NPI Number | 1538800248
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Entity Type | Individual
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Provider Name | NAOMI LINNELL BCBA, MS
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Gender | Female
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Dates
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Enumeration Date | 04/05/2022
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Last Update Date | 07/31/2024
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Provider Practice Location Address
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Address Line | 919 CALLIE CT
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City | NORTH SALT LAKE
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State | UT
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Zip | 84054-0165
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Country | US
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Telephone | 801-923-3537
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Fax |
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Provider Business Mailing Address
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Address Line | 2496 W 4700 S
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City | TAYLORSVILLE
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State | UT
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Zip | 84129-1655
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Country | US
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Telephone | 801-935-4171
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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 | 1-24-74618
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License Number State | UT
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