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NPI 1982190849

NPI 1982190849 : ASHLEY M PALMER BCBA : WINTER PARK, FL

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General NPI Number Information
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    NPI Number           |    1982190849
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    Entity Type          |    Individual 
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    Provider Name        |    ASHLEY M PALMER BCBA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/03/2018
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    Last Update Date     |    04/10/2025
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Provider Practice Location Address
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    Address Line         |    882 JACKSON AVE 
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    City                 |    WINTER PARK
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    State                |    FL
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    Zip                  |    32789-4667
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    Country              |    US
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    Telephone            |    407-416-4538
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1219 SOUTHERLY PARC LN APT 210 
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    City                 |    ORANGE CITY
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    State                |    FL
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    Zip                  |    32763-8099
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    Country              |    US
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    Telephone            |    407-416-4538
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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        |    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 #2
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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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