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General NPI Number Information
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NPI Number | 1083048433
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Entity Type | Organization
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Legal Business Name | BEHAVIOR ANALYSIS SERVICES IN COMMUNITY SETTINGS
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Dates
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Enumeration Date | 08/21/2013
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Last Update Date | 08/21/2013
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Provider Practice Location Address
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Address Line | 5165 ARROWHEAD RD
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City | PENSACOLA
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State | FL
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Zip | 32507-8902
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Country | US
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Telephone | 850-572-6865
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Fax | 850-492-2645
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Provider Business Mailing Address
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Address Line | 5165 ARROWHEAD RD
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City | PENSACOLA
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State | FL
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Zip | 32507-8902
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Country | US
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Telephone | 850-572-6865
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Fax | 850-492-2645
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Authorized Official
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Title or Position | BEHAVIOR ANALYST
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Name | PATRICIA WHEAT
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Credential | BCBA,CMHP
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Telephone | 850-572-6865
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 70506
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 0537
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 0537
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License Number State | FL
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