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General NPI Number Information
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NPI Number | 1013363977
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Entity Type | Organization
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Legal Business Name | BEHAVIOR PATHWAYS, LLC
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Dates
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Enumeration Date | 05/10/2016
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Last Update Date | 05/10/2016
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Provider Practice Location Address
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Address Line | 2623 RIO BRAZOS
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City | SAN ANTONIO
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State | TX
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Zip | 78259-2646
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Country | US
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Telephone | 210-870-0907
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Fax | 210-267-9418
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Provider Business Mailing Address
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Address Line | 2623 RIO BRAZOS
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City | SAN ANTONIO
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State | TX
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Zip | 78259-2646
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Country | US
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Telephone | 210-870-0907
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Fax | 210-267-9418
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Authorized Official
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Title or Position | OWNER
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Name | MR. LUPE CASTANEDA JR.
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Credential | BCBA
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Telephone | 210-870-0907
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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 | 1-02-0994
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License Number State | TX
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