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General NPI Number Information
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NPI Number | 1578329926
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Entity Type | Individual
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Provider Name | CASSIDIE JEAN BAPTISTE
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Gender | Female
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Dates
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Enumeration Date | 02/23/2024
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 3200 S HIAWASSEE RD STE 203
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City | ORLANDO
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State | FL
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Zip | 32835-6317
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Country | US
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Telephone | 407-286-4031
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Fax |
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Provider Business Mailing Address
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Address Line | 1729 AMERICANA BLVD APT 25A
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City | ORLANDO
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State | FL
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Zip | 32839-8293
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Country | US
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Telephone | 508-857-9832
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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 | BACB1023336
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License Number State | FL
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