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General NPI Number Information
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NPI Number | 1619811932
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Entity Type | Individual
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Provider Name | JOSEPH DANIEL NOHAVICKA
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Gender | Male
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Dates
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Enumeration Date | 04/16/2026
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Last Update Date | 04/16/2026
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Provider Practice Location Address
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Address Line | 2035 RALPH AVE
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City | BROOKLYN
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State | NY
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Zip | 11234-5300
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Country | US
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Telephone | 347-232-9067
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Fax |
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Provider Business Mailing Address
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Address Line | 191 FORDHAM ST
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City | BRONX
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State | NY
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Zip | 10464-1412
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Country | US
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Telephone | 914-330-9947
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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 | P113746
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License Number State | NY
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