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General NPI Number Information
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NPI Number | 1891572426
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Entity Type | Individual
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Provider Name | JOCELYN CESILIA DUARTE-CANAHUI BCBA, LBA,
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Gender | Female
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Dates
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Enumeration Date | 09/08/2023
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Last Update Date | 09/08/2023
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Provider Practice Location Address
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Address Line | 588 NAUGATUCK AVE
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City | MILFORD
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State | CT
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Zip | 06461-4059
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Country | US
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Telephone | 203-410-6452
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Fax | 203-874-1652
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Provider Business Mailing Address
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Address Line | 2 PLEASANT ST
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City | NORWALK
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State | CT
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Zip | 06855-1013
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Country | US
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Telephone | 203-505-8842
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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 | 1750
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License Number State | CT
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