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General NPI Number Information
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NPI Number | 1578767208
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Entity Type | Individual
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Provider Name | KAREN SWOBODA M.S, B.C.B.A
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Gender | Female
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Dates
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Enumeration Date | 06/14/2007
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 1219 VERMONT AVE
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City | LYNN HAVEN
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State | FL
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Zip | 32444-2162
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Country | US
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Telephone | 850-814-8941
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Fax | 850-252-6027
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Provider Business Mailing Address
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Address Line | PO BOX 40
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City | LYNN HAVEN
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State | FL
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Zip | 32444-0040
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Country | US
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Telephone | 850-814-8941
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Fax | 850-252-6027
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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 | 2022-089
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 553
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 1-05-2631
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License Number State | FL
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