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General NPI Number Information
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NPI Number | 1023621547
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Entity Type | Organization
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Legal Business Name | THE BEHAVIOR CORNER
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Dates
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Enumeration Date | 08/25/2020
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 4 OXFORD RD STE D7
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City | MILFORD
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State | CT
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Zip | 06460-3851
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Country | US
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Telephone | 475-414-8084
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Fax | 203-306-3029
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Provider Business Mailing Address
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Address Line | 4 OXFORD RD STE D7
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City | MILFORD
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State | CT
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Zip | 06460-3851
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Country | US
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Telephone | 475-414-8084
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Fax | 203-306-3029
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Authorized Official
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Title or Position | MANAGER
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Name | TAWANA MCNAIR
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Credential |
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Telephone | 949-627-0496
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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