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General NPI Number Information
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NPI Number | 1174466346
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Entity Type | Organization
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Legal Business Name | CREATIVE MIND NETWORK LLC
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Dates
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Enumeration Date | 04/13/2026
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Last Update Date | 04/13/2026
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Provider Practice Location Address
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Address Line | 1000 CANNON PKWY APT 1236 #1236
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City | ROANOKE
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State | TX
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Zip | 76262-2840
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Country | US
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Telephone | 512-662-2862
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Fax |
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Provider Business Mailing Address
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Address Line | 5473 BLAIR RD STE 100
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City | DALLAS
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State | TX
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Zip | 75231-4227
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Country | US
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Telephone | 512-662-2862
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER
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Name | SAMEEYA R REED
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Credential | MS.,BCBA, LBA
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Telephone | 512-662-2862
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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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