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General NPI Number Information
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NPI Number | 1851244677
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Entity Type | Individual
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Provider Name | ALEXIS KATHRYN HALLETT BCBA
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Gender | Female
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Dates
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Enumeration Date | 02/19/2026
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 2300 CROWN COLONY DR STE 300
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City | QUINCY
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State | MA
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Zip | 02169-0902
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Country | US
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Telephone | 617-819-0781
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Fax |
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Provider Business Mailing Address
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Address Line | 124 BABCOCK ST APT 26
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City | BROOKLINE
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State | MA
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Zip | 02446-5945
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Country | US
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Telephone | 864-905-9585
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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 | LABA10001997
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License Number State | MA
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