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General NPI Number Information
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NPI Number | 1881195741
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Entity Type | Individual
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Provider Name | REBECCA SPARACIO BCBA
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Gender | Female
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Dates
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Enumeration Date | 02/26/2018
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 2805 TRENT RD
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City | NEW BERN
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State | NC
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Zip | 28562-2029
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Country | US
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Telephone | 855-223-7123
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 33568
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City | SAN DIEGO
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State | CA
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Zip | 92163-3568
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Country | US
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Telephone | 855-223-7123
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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 | 3550
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License Number State | NC
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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 | 1-20-43192
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License Number State | OK
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