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General NPI Number Information
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NPI Number | 1922603307
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Entity Type | Individual
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Provider Name | TYLER DOWNEY RBT
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Gender | Female
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Dates
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Enumeration Date | 12/02/2020
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Last Update Date | 11/10/2023
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Provider Practice Location Address
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Address Line | 1650 W MAIN ST STE 1
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City | LEESBURG
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State | FL
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Zip | 34748-2842
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Country | US
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Telephone | 352-314-3760
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Fax | 352-314-2909
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Provider Business Mailing Address
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Address Line | 1650 W MAIN ST STE 1
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City | LEESBURG
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State | FL
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Zip | 34748-2842
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Country | US
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Telephone | 352-314-3760
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Fax | 352-314-2909
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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 | 1-23-69495
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License Number State |
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