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General NPI Number Information
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NPI Number | 1023966843
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Entity Type | Organization
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Legal Business Name | OUT OF THE BOX BEHAVIORAL THERAPY LLC
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Dates
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Enumeration Date | 03/18/2026
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Last Update Date | 03/18/2026
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Provider Practice Location Address
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Address Line | 1161 GENDER RD
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City | CANAL WINCHESTER
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State | OH
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Zip | 43110-9736
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Country | US
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Telephone | 614-589-2943
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Fax |
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Provider Business Mailing Address
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Address Line | 1929 BALTIMORE REYNOLDSBURG RD UNIT 626
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City | REYNOLDSBURG
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State | OH
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Zip | 43068-8105
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Country | US
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Telephone | 614-589-2943
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Fax |
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Authorized Official
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Title or Position | CEO/ BEHAVIORAL THERAPIST
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Name | MRS. ASHLEY M BENITEZ
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Credential | BT, MA
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Telephone | 614-589-2943
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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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