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General NPI Number Information
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NPI Number | 1548075567
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Entity Type | Individual
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Provider Name | SYDNEY GARRETT BCBA
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Gender | Female
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Dates
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Enumeration Date | 02/07/2025
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 547 JACKSON CHAPEL RD
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City | CEDARTOWN
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State | GA
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Zip | 30125-4227
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Country | US
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Telephone | 314-800-6349
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Fax |
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Provider Business Mailing Address
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Address Line | 1809 CALLOWAY PATH
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City | ROCKMART
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State | GA
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Zip | 30153-5408
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Country | US
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Telephone | 678-699-0549
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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 | 1-24-78498
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License Number State | GA
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