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General NPI Number Information
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NPI Number | 1851781009
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Entity Type | Individual
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Provider Name | SUSAN HABCHY BCBA
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Gender | Female
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Dates
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Enumeration Date | 01/27/2015
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Last Update Date | 01/20/2023
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Provider Practice Location Address
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Address Line | 30 C ST
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City | HULL
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State | MA
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Zip | 02045-1939
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Country | US
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Telephone | 617-481-9878
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Fax | 781-773-1326
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Provider Business Mailing Address
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Address Line | 338 RIVER ST
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City | NORWELL
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State | MA
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Zip | 02061-2205
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Country | US
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Telephone | 617-481-9878
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Fax | 781-773-1326
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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 | 1-11-8932
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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 | 562
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License Number State | MA
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