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General NPI Number Information
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NPI Number | 1154669745
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Entity Type | Organization
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Legal Business Name | BEYOND THE BEHAVIOR
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Dates
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Enumeration Date | 01/16/2013
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Last Update Date | 01/16/2013
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Provider Practice Location Address
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Address Line | 19002 DALLAS PKWY #1021
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City | DALLAS
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State | TX
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Zip | 75287-3149
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Country | US
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Telephone | 972-921-5041
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Fax | 469-726-2242
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Provider Business Mailing Address
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Address Line | 19002 DALLAS PKWY #1021
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City | DALLAS
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State | TX
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Zip | 75287-3149
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Country | US
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Telephone | 972-921-5041
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Fax | 469-726-2242
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | JESSICA L ZUNIGA
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Credential | MS, BCBA
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Telephone | 972-921-5041
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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 | 1-0602942
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License Number State | TX
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