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General NPI Number Information
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NPI Number | 1114320637
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Entity Type | Organization
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Legal Business Name | CONNECTIONS BEHAVIORAL SOLUTIONS, LLC
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Dates
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Enumeration Date | 09/28/2014
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Last Update Date | 09/28/2014
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Provider Practice Location Address
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Address Line | 1926 METROPOLITAN AVE
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City | LEAVENWORTH
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State | KS
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Zip | 66048-1123
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Country | US
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Telephone | 913-250-5509
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Fax |
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Provider Business Mailing Address
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Address Line | 1926 METROPOLITAN AVE
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City | LEAVENWORTH
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State | KS
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Zip | 66048-1123
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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 | DIRECTOR OF OPERATIONS
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Name | KELLY HIGBY
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Credential |
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Telephone | 913-250-5509
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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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