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General NPI Number Information
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NPI Number | 1083256101
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Entity Type | Organization
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Legal Business Name | BRIGHT STEPS BEHAVIOR INNOVATIONS LLC
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Dates
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Enumeration Date | 10/09/2019
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Last Update Date | 10/09/2019
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Provider Practice Location Address
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Address Line | 33 MATTHEWS LNDG
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City | HARWICH
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State | MA
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Zip | 02645-1999
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Country | US
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Telephone | 508-858-6332
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Fax |
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Provider Business Mailing Address
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Address Line | 33 MATTHEWS LNDG
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City | HARWICH
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State | MA
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Zip | 02645-1999
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Country | US
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Telephone | 508-858-6332
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Fax |
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Authorized Official
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Title or Position | OWNER & EXECUTIVE DIRECTOR
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Name | MRS. LINDSAY T CLARKE
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Credential | M.ED., LABA, BCBA
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Telephone | 508-858-6332
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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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