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NPI 1972098978

NPI 1972098978 : ASHLY KRITES : NAVARRE, FL

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General NPI Number Information
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    NPI Number           |    1972098978
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    Entity Type          |    Individual 
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    Provider Name        |    ASHLY KRITES
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/22/2018
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    Last Update Date     |    02/09/2024
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Provider Practice Location Address
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    Address Line         |    7552 NAVARRE PKWY UNIT 62 
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    City                 |    NAVARRE
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    State                |    FL
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    Zip                  |    32566-7305
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    Country              |    US
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    Telephone            |    850-860-4050
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1305 FOXBOROUGH DR 
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    City                 |    PENSACOLA
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    State                |    FL
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    Zip                  |    32514-1680
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    Country              |    US
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    Telephone            |    850-218-7276
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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        |    106E00000X
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    Taxonomy Name        |    Assistant Behavior Analyst
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    License Number       |    11943
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    License Number State |    FL
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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        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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    License Number       |    1-24-71168
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    License Number State |    FL
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