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General NPI Number Information
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NPI Number | 1871029553
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Entity Type | Individual
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Provider Name | KATHERINE ENTWISTLE BCBA
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Gender | Female
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Dates
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Enumeration Date | 05/02/2017
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 102 PERIMETER RD
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City | NASHUA
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State | NH
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Zip | 03063-1301
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Country | US
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Telephone | 800-778-5560
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Fax |
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Provider Business Mailing Address
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Address Line | 56 GREENMONT AVE APT 56
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City | DRACUT
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State | MA
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Zip | 01826-3806
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Country | US
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Telephone | 401-742-2816
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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 | 4146
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License Number State | MA
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