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General NPI Number Information
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NPI Number | 1912399767
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Entity Type | Individual
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Provider Name | ASHLEY DANIELLE KROKOWSKI MA, BCBA, LBA
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Gender | Female
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Dates
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Enumeration Date | 03/02/2015
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Last Update Date | 03/02/2015
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Provider Practice Location Address
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Address Line | 129 W 85TH ST APT 4F
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City | NEW YORK
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State | NY
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Zip | 10024-4434
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Country | US
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Telephone | 631-566-7946
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Fax |
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Provider Business Mailing Address
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Address Line | 155 N CHESTNUT ST
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City | MASSAPEQUA
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State | NY
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Zip | 11758-3034
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Country | US
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Telephone | 631-566-7946
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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 | 00259
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License Number State | NY
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