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General NPI Number Information
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NPI Number | 1568004802
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Entity Type | Individual
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Provider Name | EMILY ELIZABETH COOK MS, BCBA
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Gender | Female
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Dates
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Enumeration Date | 10/08/2019
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 2255 ENTERPRISE DR STE 5501
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City | WESTCHESTER
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State | IL
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Zip | 60154-5808
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Country | US
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Telephone | 708-965-4123
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Fax |
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Provider Business Mailing Address
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Address Line | 5521 W LINCOLN HWY STE 301
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City | CROWN POINT
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State | IN
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Zip | 46307-1117
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Country | US
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Telephone | 219-359-3272
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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 | 1-19-35019
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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