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General NPI Number Information
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NPI Number | 1073116679
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Entity Type | Organization
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Legal Business Name | STEPPING STONES BEHAVIOR SUPPORT, PLLC
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Dates
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Enumeration Date | 11/17/2020
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Last Update Date | 08/17/2021
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Provider Practice Location Address
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Address Line | 4865 HALWELL DR
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-8418
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Country | US
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Telephone | 562-745-4669
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Fax |
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Provider Business Mailing Address
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Address Line | 1405 CALLANDISH CT
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-6459
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Country | US
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Telephone | 562-745-4669
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MELISSA NICOLE HALE
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Credential | BCBA
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Telephone | 562-745-4669
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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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