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General NPI Number Information
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NPI Number | 1700475787
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Entity Type | Individual
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Provider Name | KATELYN SCOTT BCABA
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Gender | Female
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Dates
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Enumeration Date | 01/13/2021
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 44 PUBLIC SQ UNIT 395
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City | DARLINGTON
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State | SC
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Zip | 29532-3220
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Country | US
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Telephone | 727-266-2834
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Fax | 888-341-7232
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Provider Business Mailing Address
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Address Line | 7 WHITEWATER CT
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City | IRMO
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State | SC
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Zip | 29063-8759
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Country | US
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Telephone |
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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 | 1-25-82934
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License Number State |
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