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General NPI Number Information
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NPI Number | 1780558569
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Entity Type | Individual
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Provider Name | LESLIE HOTCHKISS RBT
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Gender | Female
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Dates
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Enumeration Date | 10/03/2025
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 11872 WESTLINE INDUSTRIAL DR STE 100
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City | SAINT LOUIS
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State | MO
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Zip | 63146-3331
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Country | US
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Telephone | 314-991-7944
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Fax |
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Provider Business Mailing Address
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Address Line | 4031 LOCKE AVE
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City | BRIDGETON
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State | MO
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Zip | 63044-2036
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Country | US
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Telephone | 314-810-6245
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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 | RBT-25-478690
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License Number State | MO
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