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General NPI Number Information
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NPI Number | 1194132969
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Entity Type | Individual
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Provider Name | TREICHAE JANAE HAYS HOLMES BCBA
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Gender | Female
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Dates
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Enumeration Date | 07/14/2014
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Last Update Date | 08/04/2022
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Provider Practice Location Address
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Address Line | 1201 PEACHTREE ST NE STE 100
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City | ATLANTA
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State | GA
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Zip | 30361-3503
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Country | US
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Telephone | 469-337-1935
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Fax |
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Provider Business Mailing Address
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Address Line | 1821 AGARITO DRIVE
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City | WEATHERFORD
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State | TX
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Zip | 76086
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Country | US
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Telephone | 469-337-1935
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-14-16783
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1171
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-14-16783
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License Number State | TX
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