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General NPI Number Information
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NPI Number | 1033013586
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Entity Type | Organization
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Legal Business Name | VICTORY BEHAVIOR & SUPPORT SERVICES LLC
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Dates
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Enumeration Date | 10/07/2026
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Last Update Date | 10/07/2026
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Provider Practice Location Address
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Address Line | 46 CLINTON AVE
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City | NEW HAVEN
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State | CT
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Zip | 06513-3101
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Country | US
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Telephone | 475-326-2153
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Fax | 860-269-9348
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Provider Business Mailing Address
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Address Line | 46 CLINTON AVE
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City | NEW HAVEN
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State | CT
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Zip | 06513-3101
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Country | US
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Telephone | 475-326-2153
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Fax | 860-269-9348
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Authorized Official
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Title or Position | OWNER
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Name | DEVAHN ISSIAH MURPHY
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Credential | BA
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Telephone | 386-216-5812
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number |
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License Number State | NULL
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Taxonomy #3
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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 | NULL
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