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General NPI Number Information
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NPI Number | 1861305328
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Entity Type | Individual
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Provider Name | MARIA CRISTINA ECHEVARRIA
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Gender | Female
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Dates
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Enumeration Date | 09/25/2026
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Last Update Date | 09/25/2026
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Provider Practice Location Address
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Address Line | 2549 N STOKESBERRY PL
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City | EAGLE
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State | ID
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Zip | 83646-1144
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Country | US
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Telephone | 570-592-2102
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Fax |
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Provider Business Mailing Address
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Address Line | 2201 W LEMHI ST
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City | BOISE
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State | ID
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Zip | 83705-3518
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Country | US
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Telephone | 570-592-1879
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-26-523122
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License Number State | ID
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