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General NPI Number Information
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NPI Number | 1912635939
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Entity Type | Individual
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Provider Name | STEPHANIE MARIE ARANDA
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Gender | Female
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Dates
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Enumeration Date | 08/09/2022
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Last Update Date | 08/09/2022
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Provider Practice Location Address
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Address Line | 322 W WILLIAM CANNON DR
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City | AUSTIN
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State | TX
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Zip | 78745-5691
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Country | US
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Telephone | 512-601-6587
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Fax |
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Provider Business Mailing Address
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Address Line | 910 W 25TH ST APT 302
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City | AUSTIN
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State | TX
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Zip | 78705-4431
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Country | US
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Telephone | 214-662-9295
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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-22-224521
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License Number State | TX
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