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NPI 1801023882

NPI 1801023882 : TROY B DIXON MS, BCBA : PALM CITY, FL

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General NPI Number Information
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    NPI Number           |    1801023882
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    Entity Type          |    Individual 
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    Provider Name        |    TROY B DIXON MS, BCBA
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/17/2009
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    Last Update Date     |    01/05/2026
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Provider Practice Location Address
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    Address Line         |    1532 SW MAPP RD 
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    City                 |    PALM CITY
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    State                |    FL
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    Zip                  |    34990-2446
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    Country              |    US
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    Telephone            |    772-678-6704
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1532 SW MAPP RD 
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    City                 |    PALM CITY
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    State                |    FL
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    Zip                  |    34990-2446
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    Country              |    US
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    Telephone            |    772-678-6704
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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       |    1-05-2199
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    License Number State |    FL
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