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General NPI Number Information
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NPI Number | 1811656366
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Entity Type | Individual
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Provider Name | BRANDI DANIELLE POWELL BCBA
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Gender | Female
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Dates
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Enumeration Date | 12/13/2021
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 200 TOWER CIR
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City | SOMERSET
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State | KY
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Zip | 42503-3480
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Country | US
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Telephone | 270-634-0394
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Fax |
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Provider Business Mailing Address
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Address Line | 219 RULE ST
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City | COLUMBIA
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State | KY
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Zip | 42728-1388
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Country | US
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Telephone | 270-634-0394
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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 |
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License Number State |
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