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General NPI Number Information
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NPI Number | 1104705698
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Entity Type | Organization
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Legal Business Name | THE APPLIED BEHAVIOR ACADEMY LLC
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Dates
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Enumeration Date | 08/28/2025
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 2451 W GRAPEVINE MILLS CIR # 555
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City | GRAPEVINE
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State | TX
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Zip | 76051-2096
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Country | US
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Telephone | 972-878-8776
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Fax |
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Provider Business Mailing Address
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Address Line | 2451 W GRAPEVINE MILLS CIR # 555
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City | GRAPEVINE
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State | TX
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Zip | 76051-2096
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Country | US
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Telephone | 972-878-8776
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Fax |
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Authorized Official
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Title or Position | BOARD CERTIFIED BEHAVIOR ANALYST
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Name | MRS. CAROL CARTER
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Credential | M.A.
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Telephone | 972-878-8776
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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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