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General NPI Number Information
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NPI Number | 1124836937
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Entity Type | Organization
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Legal Business Name | NEURODIVERGENT CENTER OF AMERICA TEXAS, LLC
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Dates
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Enumeration Date | 12/26/2024
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 9201 N CENTRAL EXPY STE 160
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City | DALLAS
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State | TX
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Zip | 75231-6033
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Country | US
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Telephone | 214-852-1031
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Fax |
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Provider Business Mailing Address
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Address Line | 9201 N CENTRAL EXPY STE 160
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City | DALLAS
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State | TX
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Zip | 75231-3502
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Country | US
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Telephone | 214-851-1031
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PETER KURNIALI
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Credential | MD
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Telephone | 214-851-1031
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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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