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General NPI Number Information
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NPI Number | 1194624791
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Entity Type | Organization
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Legal Business Name | EMPOWER BEHAVIORAL CONSULTING
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 3208 S PALOMINO WAY
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City | YUMA
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State | AZ
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Zip | 85365-8081
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Country | US
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Telephone | 804-874-3321
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 351
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City | YUMA
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State | AZ
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Zip | 85366-2314
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Country | US
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Telephone | 804-874-3321
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | JAMAR JACKSON
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Credential | MBA, M.S, BCBA
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Telephone | 804-874-3321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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