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General NPI Number Information
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NPI Number | 1538834817
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Entity Type | Individual
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Provider Name | AMBER ELIZABETH VIATOR MS, BCBA, LBA
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Gender | Female
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Dates
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Enumeration Date | 08/10/2021
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 93 MAGNATE DR
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City | LAFAYETTE
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State | LA
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Zip | 70508-3890
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Country | US
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Telephone | 337-806-9601
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Fax |
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Provider Business Mailing Address
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Address Line | 2036 JACKSON ST
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City | ALEXANDRIA
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State | LA
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Zip | 71301-6439
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Country | US
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Telephone | 318-641-0444
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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 | L-890
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License Number State | LA
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