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General NPI Number Information
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NPI Number | 1013669845
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Entity Type | Organization
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Legal Business Name | APPLIED BEHAVIORAL APPROACHES
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Dates
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Enumeration Date | 01/24/2022
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Last Update Date | 11/21/2023
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Provider Practice Location Address
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Address Line | 2930 HORIZON PARK DR STE D
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City | SUWANEE
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State | GA
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Zip | 30024-7252
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Country | US
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Telephone | 770-462-8550
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Fax | 470-322-4355
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Provider Business Mailing Address
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Address Line | 2339 MEADOW PEAK PT
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City | DULUTH
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State | GA
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Zip | 30097-4366
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Country | US
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Telephone | 770-462-8550
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Fax | 470-322-4355
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Authorized Official
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Title or Position | OWNER
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Name | DR. CAROLYN K. BRONER
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Credential | PHD
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Telephone | 770-462-8550
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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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