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General NPI Number Information
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NPI Number | 1548753247
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Entity Type | Individual
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Provider Name | CHRISTINA CARDONA
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Gender | Female
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Dates
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Enumeration Date | 06/07/2018
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 7 UPPER BALCONES RD
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City | BOERNE
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State | TX
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Zip | 78006-8546
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Country | US
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Telephone | 310-408-3585
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Fax |
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Provider Business Mailing Address
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Address Line | 124 WILD ROSE HL
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City | BOERNE
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State | TX
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Zip | 78006-2207
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Country | US
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Telephone | 310-408-3585
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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 | 3874
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License Number State | TX
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