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General NPI Number Information
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NPI Number | 1194119396
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Entity Type | Individual
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Provider Name | JOSHUA GLEN OKAIN BCBA, LBA
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Gender | Male
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Dates
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Enumeration Date | 03/25/2015
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Last Update Date | 12/17/2021
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Provider Practice Location Address
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Address Line | 1100 FROST ST # TX
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City | ROSENBERG
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State | TX
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Zip | 77471-3128
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Country | US
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Telephone | 844-830-1683
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Fax |
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Provider Business Mailing Address
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Address Line | 4500 STEINER RANCH BLVD APT 2707
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City | AUSTIN
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State | TX
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Zip | 78732-2347
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Country | US
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Telephone | 737-867-0866
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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 | 2612
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License Number State | TX
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