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General NPI Number Information
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NPI Number | 1013879014
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Entity Type | Organization
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Legal Business Name | CROSS BEHAVIORAL CONSULTING LLC
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Dates
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Enumeration Date | 11/27/2025
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Last Update Date | 11/27/2025
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Provider Practice Location Address
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Address Line | 2670 CRAIN HWY STE 106
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City | WALDORF
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State | MD
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Zip | 20601-2820
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Country | US
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Telephone | 301-374-8772
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Fax | 301-374-8773
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Provider Business Mailing Address
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Address Line | 2670 CRAIN HWY STE 106
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City | WALDORF
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State | MD
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Zip | 20601-2820
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Country | US
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Telephone | 301-374-8772
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Fax | 301-374-8773
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | EBONY JOI CROSS
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Credential | NP
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Telephone | 301-374-8772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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