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General NPI Number Information
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NPI Number | 1124700083
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Entity Type | Organization
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Legal Business Name | FAMILY AUTISM CENTER LLC
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Dates
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Enumeration Date | 08/01/2023
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Last Update Date | 06/01/2024
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Provider Practice Location Address
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Address Line | 14930 MUESCHKE RD STE 120
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City | CYPRESS
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State | TX
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Zip | 77433-1460
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Country | US
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Telephone | 832-483-9419
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Fax |
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Provider Business Mailing Address
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Address Line | 14930 MUESCHKE RD STE 120
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City | CYPRESS
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State | TX
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Zip | 77433-1460
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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 | CEO
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Name | MS. ANELINE MICHIELI
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Credential |
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Telephone | 832-483-9419
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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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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