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General NPI Number Information
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NPI Number | 1194188755
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Entity Type | Organization
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Legal Business Name | B.E.C.D.S., INC.
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Dates
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Enumeration Date | 03/31/2016
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Last Update Date | 03/31/2016
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Provider Practice Location Address
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Address Line | 920 RED OAK TRL
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City | CEDAR HILL
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State | TX
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Zip | 75104-3180
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Country | US
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Telephone | 469-774-2177
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Fax | 469-533-1698
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Provider Business Mailing Address
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Address Line | 920 RED OAK TRL
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City | CEDAR HILL
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State | TX
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Zip | 75104-3180
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Country | US
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Telephone | 469-774-2177
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Fax | 469-533-1698
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Authorized Official
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Title or Position | CEO
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Name | KECIA BOLTON
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Credential | M.ED.
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Telephone | 469-774-2177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State | TX
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