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General NPI Number Information
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NPI Number | 1023686821
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Entity Type | Organization
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Legal Business Name | SOCIAL CUES BEHAVIOR ANALYSIS, LLC
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Dates
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Enumeration Date | 06/16/2021
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Last Update Date | 06/16/2021
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Provider Practice Location Address
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Address Line | 5223 BREEZEWOOD ARCH
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-6474
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Country | US
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Telephone | 757-275-6874
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Fax |
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Provider Business Mailing Address
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Address Line | 1385 FORDHAM DR STE 105-272
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-5345
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Country | US
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Telephone | 757-275-6874
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Fax | 757-301-5050
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Authorized Official
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Title or Position | OWNER/MANAGING PARTNER/BCBA
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Name | MRS. SARAH HART
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Credential | BCBA, LBA
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Telephone | 757-275-6874
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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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