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General NPI Number Information
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NPI Number | 1073422952
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Entity Type | Organization
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Legal Business Name | TEXAS AUTISM, LLC
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 13625 RONALD W REAGAN BLVD BLDG 1
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City | CEDAR PARK
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State | TX
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Zip | 78613-2073
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Country | US
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Telephone | 602-726-2300
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Fax |
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Provider Business Mailing Address
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Address Line | 21111 N 9TH PL
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City | PHOENIX
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State | AZ
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Zip | 85024-5636
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SR. CREDENTIALING SPECIALIST
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Name | SUMMER BURTON
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Credential |
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Telephone | 480-673-7174
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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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