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General NPI Number Information
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NPI Number | 1942090196
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Entity Type | Individual
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Provider Name | SIDRA WASAY SYED BCBA
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Gender | Female
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Dates
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Enumeration Date | 05/10/2025
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Last Update Date | 05/10/2025
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Provider Practice Location Address
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Address Line | 1645 ELLINGTON RD
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City | SOUTH WINDSOR
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State | CT
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Zip | 06074-2764
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Country | US
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Telephone | 860-788-5515
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Fax |
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Provider Business Mailing Address
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Address Line | 1158 HARTFORD TPKE UNIT 27
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City | VERNON
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State | CT
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Zip | 06066-4584
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Country | US
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Telephone | 860-913-1101
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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 |
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License Number State |
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