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General NPI Number Information
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NPI Number | 1790163988
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Entity Type | Individual
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Provider Name | KEVIN A BRINTNELL BCBA
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Gender | Male
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Dates
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Enumeration Date | 05/08/2015
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Last Update Date | 05/08/2015
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Provider Practice Location Address
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Address Line | 11258 COIMBRA LN
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-5368
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Country | US
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Telephone | 239-249-1840
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Fax | 239-236-1221
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Provider Business Mailing Address
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Address Line | 11258 COIMBRA LN
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-5368
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Country | US
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Telephone | 239-249-1840
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Fax | 239-236-1221
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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 | 1-15-18280
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License Number State | FL
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