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General NPI Number Information
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NPI Number | 1689142952
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Entity Type | Individual
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Provider Name | SARIAH KAI MICHAELS
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Gender | Female
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Dates
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Enumeration Date | 11/05/2018
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Last Update Date | 08/14/2023
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Provider Practice Location Address
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Address Line | 120 EVEREST LN STE 1
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City | JACKSONVILLE
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State | FL
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Zip | 32259-4063
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Country | US
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Telephone | 904-297-2433
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Fax |
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Provider Business Mailing Address
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Address Line | 9480 PRINCETON SQUARE BLVD S APT 304
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City | JACKSONVILLE
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State | FL
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Zip | 32256-8306
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Country | US
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Telephone | 818-518-4026
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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 | F7726962
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | 1689142952
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License Number State | FL
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