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General NPI Number Information
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NPI Number | 1689553422
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Entity Type | Individual
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Provider Name | AENEA BAYLISS
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Gender | Female
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Dates
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Enumeration Date | 08/27/2025
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 2920 W BROAD ST STE 215
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City | RICHMOND
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State | VA
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Zip | 23230-5103
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Country | US
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Telephone | 804-988-1150
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Fax |
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Provider Business Mailing Address
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Address Line | 6845 W CARNATION ST APT D
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City | RICHMOND
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State | VA
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Zip | 23225-5225
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Country | US
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Telephone | 571-581-4215
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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