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General NPI Number Information
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NPI Number | 1104272152
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Entity Type | Organization
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Legal Business Name | NEXT LEVEL CONNECTIONS LLC
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Dates
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Enumeration Date | 05/09/2016
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Last Update Date | 08/01/2019
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Provider Practice Location Address
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Address Line | 10655 PARK RUN DRIVE STE 210
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City | LAS VEGAS
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State | NV
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Zip | 89144-4590
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Country | US
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Telephone | 702-856-4327
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Fax | 702-608-2747
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Provider Business Mailing Address
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Address Line | 10655 PARK RUN DRIVE STE 210
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City | LAS VEGAS
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State | NV
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Zip | 89144-4590
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Country | US
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Telephone | 702-856-4327
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Fax | 702-608-2747
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Authorized Official
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Title or Position | OWNER
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Name | MS. JULIE RAE RICHARDS
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Credential | M.ED., BCBA, LBA
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Telephone | 702-856-4327
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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 | LBAT040516
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License Number State | NV
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