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General NPI Number Information
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NPI Number | 1144716218
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Entity Type | Individual
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Provider Name | ARNESHA SMALLS MA.,QBA,LBA
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Gender | Female
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Dates
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Enumeration Date | 07/02/2018
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 3010 ILLINOIS AVE
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City | KILLEEN
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State | TX
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Zip | 76543-7654
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Country | US
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Telephone | 254-432-7041
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Fax |
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Provider Business Mailing Address
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Address Line | 4800 OLD HOMESTEAD ST
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City | KILLEEN
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State | TX
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Zip | 76549-5790
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Country | US
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Telephone | 270-791-7715
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 8686
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License Number State | TX
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