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General NPI Number Information
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NPI Number | 1972450674
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Entity Type | Individual
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Provider Name | KATERIN GODOY
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Gender |
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Dates
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Enumeration Date | 03/12/2026
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Last Update Date | 03/12/2026
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Provider Practice Location Address
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Address Line | 1400 SPRING ST STE 101
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City | SILVER SPRING
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State | MD
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Zip | 20910-2756
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Country | US
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Telephone | 240-398-3514
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Fax |
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Provider Business Mailing Address
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Address Line | 11510 LAURELWALK DR
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City | LAUREL
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State | MD
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Zip | 20708-3002
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Country | US
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Telephone | 240-559-6456
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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 |
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License Number State | MD
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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 | MD
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