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General NPI Number Information
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NPI Number | 1659254530
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Entity Type | Individual
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Provider Name | COURTNEY LYNN SCHAEFER BCBA, LBA
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Gender | Female
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 1753 MERIDEN-WATERBURY TURNPIKE
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City | SOUTHINGTON
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State | CT
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Zip | 06489
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Country | US
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Telephone | 203-313-5537
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Fax |
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Provider Business Mailing Address
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Address Line | 264 GLENDALE DR
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City | BRISTOL
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State | CT
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Zip | 06010-3046
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Country | US
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Telephone | 203-893-0031
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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 | 2191
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License Number State | CT
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