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General NPI Number Information
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NPI Number | 1710841101
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Entity Type | Individual
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Provider Name | BRITTANY PAMELA BALLESTEROS
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Gender | Female
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Dates
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Enumeration Date | 12/11/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 15116 N COTTON LN
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City | SURPRISE
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State | AZ
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Zip | 85388-9618
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Country | US
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Telephone | 623-322-8250
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Fax |
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Provider Business Mailing Address
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Address Line | 7374 W PALO VERDE DR
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City | GLENDALE
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State | AZ
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Zip | 85303-4711
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Country | US
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Telephone | 602-524-0913
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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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