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General NPI Number Information
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NPI Number | 1063330272
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Entity Type | Organization
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Legal Business Name | BEAR CREEK ABA LLC
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Dates
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Enumeration Date | 07/07/2026
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Last Update Date | 07/07/2026
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Provider Practice Location Address
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Address Line | 18156 W H 40
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City | RUDYARD
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State | MI
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Zip | 49780-9216
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Country | US
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Telephone | 906-430-8829
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Fax | 906-430-8829
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Provider Business Mailing Address
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Address Line | 18156 W H 40
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City | RUDYARD
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State | MI
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Zip | 49780-9216
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Country | US
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Telephone | 906-430-8829
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Fax | 906-430-8829
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Authorized Official
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Title or Position | BOARD CERTIFIED BEHAVIOR ANALYST
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Name | ALISON MARIE SPRAGUE
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Credential | MA, BCBA,LBA
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Telephone | 906-430-8829
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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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