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General NPI Number Information
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NPI Number | 1619835709
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Entity Type | Organization
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Legal Business Name | CHILEDA INSTITUTE, INC
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Dates
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Enumeration Date | 01/15/2026
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 3716 MORMON COULEE RD
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City | LA CROSSE
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State | WI
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Zip | 54601-7363
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Country | US
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Telephone | 608-782-6480
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Fax |
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Provider Business Mailing Address
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Address Line | 1825 VICTORY ST
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City | LA CROSSE
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State | WI
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Zip | 54601-7201
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Country | US
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Telephone | 608-782-6480
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. DEREK CORTEZ
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Credential |
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Telephone | 608-782-6480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225XF0002X
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Taxonomy Name | Feeding, Eating & Swallowing Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 225A00000X
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Taxonomy Name | Music Therapist
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License Number |
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License Number State |
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Taxonomy #6
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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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