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General NPI Number Information
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NPI Number | 1801746375
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Entity Type | Individual
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Provider Name | KARISSA PECKHAM
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Gender | Female
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 1649 61ST ST
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City | BROOKLYN
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State | NY
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Zip | 11204-2746
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Country | US
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Telephone | 802-345-1447
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Fax |
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Provider Business Mailing Address
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Address Line | 123 JOEY DR
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City | COLCHESTER
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State | VT
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Zip | 05446-3916
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Country | US
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Telephone | 802-345-1447
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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 | 1-24-72918
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License Number State | VT
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