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NPI 1144183914

NPI 1144183914 : ARRYS HAVEN, LLC : MANSFIELD, TX

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General NPI Number Information
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    NPI Number           |    1144183914
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    Entity Type          |    Organization 
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    Legal Business Name  |    ARRYS HAVEN, LLC 
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Dates
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    Enumeration Date     |    12/08/2025
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    Last Update Date     |    12/08/2025
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Provider Practice Location Address
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    Address Line         |    707 AUDREY LN 
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    City                 |    MANSFIELD
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    State                |    TX
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    Zip                  |    76063-5328
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    Country              |    US
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    Telephone            |    619-414-4303
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    Fax                  |    682-226-6086
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Provider Business Mailing Address
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    Address Line         |    707 AUDREY LN 
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    City                 |    MANSFIELD
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    State                |    TX
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    Zip                  |    76063-5328
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    Country              |    US
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    Telephone            |    619-414-4303
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    Fax                  |    682-226-6086
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Authorized Official
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    Title or Position    |    OWNER/ADMINISTRATOR
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    Name                 |     OLUWASEYI TAMI YOUNG-HARRY 
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    Credential           |    DHA
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    Telephone            |    619-424-4303
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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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