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General NPI Number Information
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NPI Number | 1083412860
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Entity Type | Organization
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Legal Business Name | BUILDING INDEPENDENCE TOGETHER
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Dates
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Enumeration Date | 03/06/2025
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 328 GLEN ST # A
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City | SUMMERVILLE
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State | SC
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Zip | 29483-4653
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Country | US
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Telephone | 401-601-9823
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Fax |
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Provider Business Mailing Address
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Address Line | 328 GLEN ST
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City | SUMMERVILLE
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State | SC
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Zip | 29483-4653
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Country | US
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Telephone | 401-601-9823
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Fax |
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Authorized Official
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Title or Position | RBT BEHAVORIAL THERAPIST SUPERVISOR
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Name | LINDSEY M PALLADINO
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Credential | M.S. RBT SUPERVISOR
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Telephone | 843-934-2697
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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