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General NPI Number Information
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NPI Number | 1063920684
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Entity Type | Organization
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Legal Business Name | LINK TO LEARN BEHAVIOR THERAPY
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Dates
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Enumeration Date | 01/17/2018
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Last Update Date | 01/17/2018
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Provider Practice Location Address
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Address Line | 15151 DRY CREEK RD
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City | NOBLESVILLE
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State | IN
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Zip | 46060-4615
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Country | US
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Telephone | 765-661-2613
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Fax | 765-661-2613
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Provider Business Mailing Address
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Address Line | 15151 DRY CREEK RD
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City | NOBLESVILLE
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State | IN
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Zip | 46060-4615
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Country | US
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Telephone | 765-661-2613
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Fax | 317-219-0727
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Authorized Official
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Title or Position | BEHAVIOR ANALYST / OWNER
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Name | RONSHAYA M BATES
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Credential | BCBA
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Telephone | 765-661-2613
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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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