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General NPI Number Information
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NPI Number | 1003306218
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL AND EDUCATIONAL CONSULTANTS, LLC
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Dates
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Enumeration Date | 05/14/2018
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Last Update Date | 05/14/2018
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Provider Practice Location Address
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Address Line | 179 CEDARWOOD LN
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City | NEWINGTON
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State | CT
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Zip | 06111-3102
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Country | US
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Telephone | 860-665-9779
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Fax |
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Provider Business Mailing Address
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Address Line | 179 CEDARWOOD LN
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City | NEWINGTON
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State | CT
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Zip | 06111-3102
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Country | US
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Telephone | 860-665-9779
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. ELIZABETH LANE DELAUNE
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Credential | MED,BCBA, QASP, LABA
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Telephone | 860-665-9779
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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 | 2318
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License Number State | MA
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