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General NPI Number Information
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NPI Number | 1174471684
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Entity Type | Organization
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Legal Business Name | SIDE BY SIDE BEHAVIORAL CENTER LLC
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Dates
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Enumeration Date | 03/19/2026
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Last Update Date | 03/19/2026
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Provider Practice Location Address
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Address Line | 1980 ROSEMEADE DR
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City | SLIDELL
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State | LA
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Zip | 70461-5580
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Country | US
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Telephone | 504-679-3805
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Fax | 985-201-7065
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Provider Business Mailing Address
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Address Line | 3501 POST OAK AVE
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City | NEW ORLEANS
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State | LA
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Zip | 70131-8405
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Country | US
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Telephone | 504-679-3805
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Fax | 504-309-0328
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Authorized Official
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Title or Position | OWNER
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Name | STACEY BYARSE
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Credential |
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Telephone | 504-679-3805
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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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