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General NPI Number Information
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NPI Number | 1033073051
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Entity Type | Organization
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Legal Business Name | HEAVENLY CHRISTIAN ACADEMY
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Dates
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Enumeration Date | 12/13/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 11421 SHILOH RD
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City | DALLAS
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State | TX
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Zip | 75228-2150
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Country | US
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Telephone | 972-681-7545
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Fax |
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Provider Business Mailing Address
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Address Line | 11421 SHILOH RD
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City | DALLAS
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State | TX
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Zip | 75228-2150
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TIA BATISTE
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Credential |
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Telephone | 214-448-5443
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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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