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General NPI Number Information
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NPI Number | 1699129619
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Entity Type | Individual
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Provider Name | RANDA RYDZY M.ED., BCBA
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Gender | Female
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Dates
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Enumeration Date | 04/15/2016
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 28 SPRING ST # 5071
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City | PRINCETON
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State | NJ
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Zip | 08542-6901
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Country | US
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Telephone | 855-832-6727
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Fax | 772-675-9100
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Provider Business Mailing Address
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Address Line | 2 MONROE ST
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City | SOMERVILLE
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State | NJ
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Zip | 08876-2642
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Country | US
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Telephone | 201-724-3926
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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 | 1-12-10377
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License Number State | NJ
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