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General NPI Number Information
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NPI Number | 1194683037
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Entity Type | Organization
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Legal Business Name | RAISING STARS ABA CENTER LLC
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 2600 N LAKE FOREST DR UNIT 200
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City | MCKINNEY
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State | TX
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Zip | 75071-0670
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Country | US
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Telephone | 240-280-4082
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Fax |
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Provider Business Mailing Address
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Address Line | 2600 N LAKE FOREST DR UNIT 200
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City | MCKINNEY
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State | TX
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Zip | 75071-0670
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Country | US
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Telephone | 240-280-4082
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | FATMATA SHAW
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Credential |
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Telephone | 240-280-4082
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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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