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General NPI Number Information
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NPI Number | 1720749476
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Entity Type | Individual
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Provider Name | DARREN THOMAS PRICE II BCBA
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Gender | Male
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Dates
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Enumeration Date | 01/05/2022
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Last Update Date | 01/05/2022
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Provider Practice Location Address
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Address Line | 3969 NIGHT HERON DR
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City | SANFORD
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State | FL
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Zip | 32773-7399
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Country | US
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Telephone | 407-431-5787
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Fax |
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Provider Business Mailing Address
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Address Line | 1645 RIVEREDGE RD
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City | OVIEDO
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State | FL
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Zip | 32766-5096
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Country | US
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Telephone | 941-979-2300
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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 |
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License Number State |
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