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General NPI Number Information
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NPI Number | 1598259053
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Entity Type | Individual
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Provider Name | MARIA LONGINOTTI BCBA
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Gender | Female
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Dates
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Enumeration Date | 06/19/2018
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Last Update Date | 07/07/2023
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Provider Practice Location Address
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Address Line | 1509 N PIERCE ST
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City | LITTLE ROCK
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State | AR
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Zip | 72207-5203
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Country | US
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Telephone | 866-727-8274
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Fax |
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Provider Business Mailing Address
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Address Line | 1410 PYRAMID DR
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City | CONWAY
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State | AR
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Zip | 72034-2013
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Country | US
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Telephone | 501-269-5817
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Fax | 479-968-6053
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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 |
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License Number State |
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