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General NPI Number Information
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NPI Number | 1184075681
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Entity Type | Individual
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Provider Name | BRENDA LILIANA CONTRERAS M.ED, BCBA
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Gender | Female
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Dates
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Enumeration Date | 06/26/2016
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Last Update Date | 08/15/2022
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Provider Practice Location Address
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Address Line | 4301 BURNET RD
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City | AUSTIN
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State | TX
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Zip | 78756-3307
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Country | US
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Telephone | 512-524-1374
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Fax |
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Provider Business Mailing Address
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Address Line | 733 SILVERTHORNE TRL
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City | HIGHLAND VILLAGE
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State | TX
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Zip | 75077-3111
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Country | US
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Telephone | 512-228-8899
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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 | 1-16-22486
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License Number State | TX
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