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General NPI Number Information
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NPI Number | 1679801393
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Entity Type | Individual
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Provider Name | KASSI VANDERPLOEG BCBA
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Gender | Female
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Dates
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Enumeration Date | 11/19/2009
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 36468 EMERALD COAST PKWY SUITE 2101
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City | DESTIN
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State | FL
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Zip | 32541-4799
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Country | US
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Telephone | 850-837-1200
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Fax | 850-269-2341
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Provider Business Mailing Address
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Address Line | 36468 EMERALD COAST PKWY STE 2101
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City | DESTIN
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State | FL
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Zip | 32541-3723
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Country | US
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Telephone | 850-837-1200
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Fax | 850-269-2341
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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 | 1-10-6865
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License Number State | NC
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