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General NPI Number Information
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NPI Number | 1679085542
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Entity Type | Individual
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Provider Name | EMILY GROBEN M.S.ED.
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Gender | Female
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Dates
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Enumeration Date | 10/31/2017
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 17212 N SCOTTSDALE RD APT 2107
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-9657
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Country | US
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Telephone | 917-580-2599
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Fax |
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Provider Business Mailing Address
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Address Line | 2375 E CAMELBACK RD STE 600
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City | PHOENIX
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State | AZ
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Zip | 85016-3493
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Country | US
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Telephone | 602-584-9860
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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 | 1-23-70106
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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