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General NPI Number Information
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NPI Number | 1629443288
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Entity Type | Individual
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Provider Name | ALEXANDRIA BARNES-JEFFERSON B.S. CRMJ
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Gender | Female
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Dates
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Enumeration Date | 12/08/2015
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Last Update Date | 10/19/2020
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Provider Practice Location Address
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Address Line | 4747 EARHART BLVD STE D
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City | NEW ORLEANS
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State | LA
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Zip | 70125-1747
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Country | US
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Telephone | 504-329-5554
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Fax |
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Provider Business Mailing Address
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Address Line | 8326 KELWOOD AVE
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City | BATON ROUGE
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State | LA
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Zip | 70806-4803
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Country | US
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Telephone | 504-329-5554
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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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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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