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General NPI Number Information
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NPI Number | 1821638701
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Entity Type | Individual
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Provider Name | ANNA SOLES BCBA ABA MS
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Gender | Female
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Dates
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Enumeration Date | 01/08/2020
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Last Update Date | 09/19/2024
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Provider Practice Location Address
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Address Line | 51 FAIRVIEW STREET
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City | BRATTLEBORO
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State | VT
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Zip | 05301-6629
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Country | US
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Telephone | 802-254-6028
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Fax | 802-254-7501
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Provider Business Mailing Address
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Address Line | 390 RIVER STREET
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City | SPRINGFIELD
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State | VT
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Zip | 05156-2226
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Country | US
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Telephone | 802-886-4500
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Fax | 802-886-4520
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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 | LABA50000879
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-22-62821
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 146.0134292
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License Number State | VT
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