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General NPI Number Information
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NPI Number | 1902361595
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Entity Type | Individual
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Provider Name | APRIL JEFFERSON BCBA
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Gender | Female
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Dates
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Enumeration Date | 02/07/2019
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Last Update Date | 12/05/2023
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Provider Practice Location Address
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Address Line | 1310 OVIEDO MALL BLVD
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City | OVIEDO
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State | FL
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Zip | 32765-7418
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Country | US
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Telephone | 605-271-2690
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Fax |
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Provider Business Mailing Address
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Address Line | 1105 W RUSSELL ST
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City | SIOUX FALLS
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State | SD
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Zip | 57104-1322
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Country | US
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Telephone | 605-271-2690
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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-19-77925
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License Number State |
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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 | 1-23-69671
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License Number State | FL
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