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General NPI Number Information
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NPI Number | 1033075171
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Entity Type | Organization
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Legal Business Name | LIBERTY ABA ACADEMY LLC
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Dates
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Enumeration Date | 01/02/2026
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 6003 HIGHLAND HILLS LN
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City | COLLEYVILLE
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State | TX
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Zip | 76034-5741
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Country | US
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Telephone | 858-335-5181
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Fax | 858-335-5181
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Provider Business Mailing Address
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Address Line | 6003 HIGHLAND HILLS LN
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City | COLLEYVILLE
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State | TX
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Zip | 76034-5741
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Country | US
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Telephone | 858-335-5181
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Fax | 858-335-5181
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Authorized Official
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Title or Position | MEMBER/OWNER
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Name | JEFF STAPLETON
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Credential | MBA
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Telephone | 858-335-5181
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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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