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General NPI Number Information
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NPI Number | 1023412178
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Entity Type | Organization
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Legal Business Name | THE MISSING PEACE AUTISM THERAPY CENTER, LLC
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Dates
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Enumeration Date | 10/17/2014
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 651 S MAIN ST STE 102
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City | KELLER
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State | TX
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Zip | 76248-7054
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Country | US
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Telephone | 877-550-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 651 S MAIN ST STE 102
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City | KELLER
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State | TX
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Zip | 76248-7054
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Country | US
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Telephone | 877-550-2273
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Fax |
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Authorized Official
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Title or Position | REGIONAL DIRECTOR OF COMPLIANCE
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Name | LINDSAY MILLER
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Credential |
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Telephone | 312-607-2272
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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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