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General NPI Number Information
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NPI Number | 1902231715
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Entity Type | Individual
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Provider Name | CHRISTINE MARIE SEDA M.A,BEHAVIOR ANALYST
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Gender | Female
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Dates
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Enumeration Date | 09/11/2013
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Last Update Date | 10/04/2021
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Provider Practice Location Address
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Address Line | 2897 PICADILLY CIR
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City | KISSIMMEE
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State | FL
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Zip | 34747-1638
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Country | US
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Telephone | 407-785-8196
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Fax |
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Provider Business Mailing Address
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Address Line | 476 CARDINAL CT
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City | KISSIMMEE
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State | FL
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Zip | 34759-4423
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Country | US
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Telephone | 407-785-8196
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 004859
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 12153588
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License Number State | FL
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