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General NPI Number Information
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NPI Number | 1083578132
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Entity Type | Organization
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Legal Business Name | ACTION BEHAVIOR CENTERS THERAPY LLC
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Dates
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Enumeration Date | 12/12/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 320 E 1ST AVE STE 101
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City | BROOMFIELD
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State | CO
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Zip | 80020-3786
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Country | US
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Telephone | 720-259-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 6300 BEE CAVES RD BLDG 2-100
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City | AUSTIN
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State | TX
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Zip | 78746-5842
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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 | CREDENTIALING DIRECTOR
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Name | SAMANTHA L GOMEZ
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Credential |
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Telephone | 512-508-3941
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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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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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