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General NPI Number Information
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NPI Number | 1841157864
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Entity Type | Individual
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Provider Name | NYIANNI MATHIS RBT
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Gender | Female
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Dates
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Enumeration Date | 01/09/2026
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Last Update Date | 01/10/2026
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Provider Practice Location Address
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Address Line | 897 YORKTOWNE DR
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City | ROCKLEDGE
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State | FL
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Zip | 32955-8106
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Country | US
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Telephone | 321-541-1970
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Fax |
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Provider Business Mailing Address
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Address Line | 5029 WEXFORD DR
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City | ROCKLEDGE
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State | FL
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Zip | 32955-6728
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Country | US
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Telephone | 321-541-1970
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Fax | 321-821-1378
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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-25-498787
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License Number State | FL
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