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General NPI Number Information
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NPI Number | 1750122941
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Entity Type | Individual
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Provider Name | BAILEY JO LIERZ BCBA
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Gender | Female
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Dates
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Enumeration Date | 06/03/2024
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 331 5TH ST
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City | BAILEYVILLE
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State | KS
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Zip | 66404-9405
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Country | US
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Telephone | 785-294-2012
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Fax |
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Provider Business Mailing Address
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Address Line | 1649 61ST ST
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City | BROOKLYN
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State | NY
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Zip | 11204-2746
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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 | 0657
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License Number State | NE
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 00749
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License Number State | KS
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