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General NPI Number Information
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NPI Number | 1801765979
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Entity Type | Individual
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Provider Name | KALIYAH HOWARD
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Gender | Female
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Dates
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Enumeration Date | 11/05/2025
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 1945 FLORENCE BLVD
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City | FLORENCE
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State | AL
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Zip | 35630-2729
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Country | US
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Telephone | 256-203-4221
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Fax | 256-768-5235
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Provider Business Mailing Address
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Address Line | 211 UPSHAW FLATS RD
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City | PITTSVIEW
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State | AL
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Zip | 36871-2509
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Country | US
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Telephone | 470-825-5158
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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-25-483046
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License Number State | AL
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