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General NPI Number Information
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NPI Number | 1760183834
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Entity Type | Individual
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Provider Name | KRISTINA DIANE FRIEDRICH BCBA
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Gender | Female
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Dates
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Enumeration Date | 03/15/2023
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Last Update Date | 03/15/2023
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Provider Practice Location Address
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Address Line | 1818 W WORLEY ST
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City | COLUMBIA
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State | MO
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Zip | 65203-1038
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Country | US
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Telephone | 573-881-4566
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Fax |
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Provider Business Mailing Address
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Address Line | 616 LORI DR
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City | BOONVILLE
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State | MO
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Zip | 65233-1804
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Country | US
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Telephone | 573-881-4566
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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 | 2021009175
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License Number State | MO
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