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General NPI Number Information
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NPI Number | 1609116888
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Entity Type | Individual
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Provider Name | SATORI ELIZABETH KEARNEY BCBA
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Gender | Female
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Dates
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Enumeration Date | 02/25/2013
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Last Update Date | 06/15/2021
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Provider Practice Location Address
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Address Line | 235 3RD AVE N UNIT 406
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City | SAINT PETERSBURG
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State | FL
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Zip | 33701-3378
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Country | US
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Telephone | 727-742-8697
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Fax | 800-981-5129
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Provider Business Mailing Address
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Address Line | 235 3RD AVE N UNIT 406
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City | SAINT PETERSBURG
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State | FL
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Zip | 33701-3378
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Country | US
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Telephone | 727-742-8697
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Fax | 800-981-5129
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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 | 0-12-4397
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License Number State | FL
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