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General NPI Number Information
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NPI Number | 1548194632
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Entity Type | Individual
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Provider Name | JESSIE RYAN HEDEBY RBT
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Gender | Female
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Dates
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Enumeration Date | 06/11/2026
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Last Update Date | 06/11/2026
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Provider Practice Location Address
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Address Line | 3225 S HARDY DR
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City | TEMPE
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State | AZ
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Zip | 85282-3394
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Country | US
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Telephone | 602-805-9237
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Fax |
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Provider Business Mailing Address
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Address Line | 14251 S 12TH PL
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City | PHOENIX
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State | AZ
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Zip | 85048-4404
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Country | US
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Telephone | 480-437-4992
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | AZ
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