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General NPI Number Information
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NPI Number | 1861301020
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Entity Type | Individual
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Provider Name | BRITTANY A DEROGATIS
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Gender | Female
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Dates
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Enumeration Date | 09/03/2026
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Last Update Date | 09/03/2026
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Provider Practice Location Address
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Address Line | 255 OLD NEW BRUNSWICK RD
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City | PISCATAWAY
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State | NJ
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Zip | 08854-3734
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Country | US
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Telephone | 732-981-1001
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Fax |
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Provider Business Mailing Address
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Address Line | 3 MONICA CT
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City | BRANCHBURG
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State | NJ
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Zip | 08876-3571
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Country | US
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Telephone | 908-210-7432
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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 | 15BC00414200
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License Number State | NJ
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