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General NPI Number Information
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NPI Number | 1104301738
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Entity Type | Individual
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Provider Name | CHARITY MAASHE BCBA
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Gender | Female
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Dates
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Enumeration Date | 09/28/2018
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 1417 WOODLAWN PKWY
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City | MESQUITE
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State | TX
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Zip | 75149
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Country | US
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Telephone | 972-885-9555
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Fax |
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Provider Business Mailing Address
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Address Line | 1351 N BUCKNER BLVD UNIT 181225
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City | DALLAS
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State | TX
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Zip | 75218-0238
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Country | US
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Telephone | 972-885-9555
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 4110
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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