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General NPI Number Information
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NPI Number | 1992405914
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Entity Type | Individual
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Provider Name | STEPHANIE ANN MACLAREN BCBA
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Gender | Female
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Dates
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Enumeration Date | 03/08/2023
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Last Update Date | 03/08/2023
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Provider Practice Location Address
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Address Line | 215 BRUSHY HILL RD
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City | DANBURY
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State | CT
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Zip | 06810-8430
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Country | US
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Telephone | 475-279-7243
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Fax | 203-826-2326
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Provider Business Mailing Address
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Address Line | 213 LEXINGTON BLVD
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City | BETHEL
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State | CT
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Zip | 06801-1300
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Country | US
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Telephone | 860-946-9731
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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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