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General NPI Number Information
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NPI Number | 1861068074
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Entity Type | Individual
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Provider Name | MADISON STONE CALETZ BCBA
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Gender | Female
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Dates
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Enumeration Date | 05/28/2021
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 617 N PAXTON ST
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City | ALEXANDRIA
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State | VA
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Zip | 22304-2735
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Country | US
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Telephone | 703-828-5745
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Fax | 703-738-7825
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Provider Business Mailing Address
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Address Line | 4306 EVERGREEN LN STE 103
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City | ANNANDALE
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State | VA
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Zip | 22003-3217
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Country | US
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Telephone | 703-828-5745
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Fax | 703-738-7825
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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 | 1-23-67181
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number | 0-21-12645
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | 17-43137
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 0133003146
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License Number State | VA
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