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General NPI Number Information
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NPI Number | 1689500225
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Entity Type | Individual
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Provider Name | KELSEY ALYSSA STEWART BCBA, LABA
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Gender | Female
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Dates
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Enumeration Date | 06/22/2026
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Last Update Date | 06/22/2026
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Provider Practice Location Address
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Address Line | 55 BOBALA RD
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City | HOLYOKE
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State | MA
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Zip | 01040-9688
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Country | US
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Telephone | 413-498-1075
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Fax |
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Provider Business Mailing Address
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Address Line | 20 EASTHAMPTON RD APT C2
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City | HOLYOKE
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State | MA
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Zip | 01040-6800
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Country | US
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Telephone | 413-250-2827
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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 | LABA10002376
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License Number State | MA
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