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General NPI Number Information
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NPI Number | 1154636694
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Entity Type | Individual
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Provider Name | CHRISTOPHER ADAM KING BCBA
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Gender | Male
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Dates
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Enumeration Date | 08/09/2010
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Last Update Date | 08/03/2021
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Provider Practice Location Address
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Address Line | 2770 CARPENTER RD STE 100
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City | ANN ARBOR
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State | MI
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Zip | 48108-4104
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Country | US
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Telephone | 734-585-5053
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Fax |
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Provider Business Mailing Address
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Address Line | 2400 SCIENCE PKWY
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City | OKEMOS
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State | MI
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Zip | 48864-2560
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Country | US
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Telephone | 517-374-8066
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1119231
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License Number State | FL
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