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General NPI Number Information
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NPI Number | 1912625005
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Entity Type | Individual
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Provider Name | KENSLEY AILEEN JARMAN RBT
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Gender | Female
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Dates
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Enumeration Date | 08/16/2022
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 1585 N 113TH AVE
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City | AVONDALE
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State | AZ
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Zip | 85392-3938
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Country | US
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Telephone | 623-259-9819
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Fax |
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Provider Business Mailing Address
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Address Line | 15508 W BELL RD STE 101-261
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City | SURPRISE
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State | AZ
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Zip | 85374-2432
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Country | US
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Telephone | 623-322-8250
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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 | RBT-22-218192
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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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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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