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General NPI Number Information
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NPI Number | 1609524016
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Entity Type | Individual
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Provider Name | KELSIE WRIGHT M.A., BCBA
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Gender | Female
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Dates
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Enumeration Date | 03/15/2022
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Last Update Date | 03/15/2022
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Provider Practice Location Address
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Address Line | 3425 US 9
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City | FREEHOLD
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State | NJ
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Zip | 07728-3554
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Country | US
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Telephone | 732-201-5676
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Fax |
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Provider Business Mailing Address
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Address Line | 2020 PHEASANT HOLLOW DR
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City | PLAINSBORO
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State | NJ
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Zip | 08536-3533
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Country | US
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Telephone | 337-302-1677
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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 |
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License Number State |
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