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General NPI Number Information
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NPI Number | 1083325609
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE LEARNING CONSULTANTS
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Dates
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Enumeration Date | 12/06/2022
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 7253 W SUNSET AVE STE C-121
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City | SPRINGDALE
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State | AR
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Zip | 72762-0989
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Country | US
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Telephone | 479-974-1339
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Fax | 479-662-4756
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Provider Business Mailing Address
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Address Line | 7253 W SUNSET AVE STE C-121
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City | SPRINGDALE
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State | AR
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Zip | 72762-0989
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Country | US
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Telephone | 479-418-9584
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Fax | 479-662-4756
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Authorized Official
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Title or Position | FOUNDER/PRESIDENT
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Name | DR. TIFFANY K MRLA
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Credential | PHD, BCBA
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Telephone | 479-418-9584
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #2
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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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