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General NPI Number Information
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NPI Number | 1750829339
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Entity Type | Individual
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Provider Name | TIFFANY SEEPAUL BCBA
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Gender | Female
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Dates
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Enumeration Date | 02/03/2017
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 2408 VANDERVORT RD
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City | LUTZ
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State | FL
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Zip | 33549-5756
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Country | US
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Telephone | 727-514-5239
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Fax | 813-358-1033
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Provider Business Mailing Address
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Address Line | 2408 VANDERVORT RD
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City | LUTZ
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State | FL
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Zip | 33549-5756
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Country | US
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Telephone | 727-514-5239
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Fax | 813-358-1033
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number | 0-19-10389
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-21-47031
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License Number State | FL
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