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General NPI Number Information
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NPI Number | 1053808642
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Entity Type | Organization
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Legal Business Name | LLB CONSULTING, PLLC
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Dates
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Enumeration Date | 04/18/2018
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Last Update Date | 04/18/2018
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Provider Practice Location Address
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Address Line | 1238 HARRINGTON DR
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City | KNOXVILLE
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State | TN
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Zip | 37922-8020
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Country | US
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Telephone | 865-207-9482
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Fax | 855-273-8721
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Provider Business Mailing Address
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Address Line | 1238 HARRINGTON DR
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City | KNOXVILLE
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State | TN
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Zip | 37922-8020
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Country | US
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Telephone | 865-207-9482
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Fax | 855-273-8721
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Authorized Official
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Title or Position | CEO/OWNER
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Name | DR. LINDSEY L BRADY
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Credential | ED.D., LBA, BCBA
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Telephone | 865-207-9482
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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 | 172
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License Number State | TN
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