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General NPI Number Information
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NPI Number | 1902475858
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Entity Type | Individual
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Provider Name | SARA SCOTT
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Gender | Female
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Dates
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Enumeration Date | 06/23/2021
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 101 W 16TH STREET #1017
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City | YUMA
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State | AZ
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Zip | 85364-4733
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Country | US
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Telephone | 248-436-4400
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Fax |
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Provider Business Mailing Address
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Address Line | 7108 S KANNER HWY
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City | STUART
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State | FL
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Zip | 34997-7462
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Country | US
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Telephone | 248-436-4400
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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 | 1-24-77611
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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