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General NPI Number Information
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NPI Number | 1790375178
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Entity Type | Individual
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Provider Name | KAILEE PAIGE BEATTY
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Gender | Female
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Dates
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Enumeration Date | 01/20/2021
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 200 N KEENE ST BLDG 2
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City | COLUMBIA
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State | MO
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Zip | 65201-8143
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Country | US
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Telephone | 573-884-6052
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Fax | 573-884-3195
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Provider Business Mailing Address
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Address Line | PO BOX 843966
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City | KANSAS CITY
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State | MO
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Zip | 64184-3966
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Country | US
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Telephone | 573-884-3300
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Fax | 573-884-0943
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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 | 2024041054
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License Number State | MO
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