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General NPI Number Information
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NPI Number | 1215344056
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Entity Type | Individual
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Provider Name | CANDICE FLOYD B.A., BCABA
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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 | 07/14/2014
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Provider Practice Location Address
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Address Line | 19030 WATERFORD CV
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City | HOUSTON
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State | TX
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Zip | 77094-3480
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Country | US
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Telephone | 832-370-3091
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Fax |
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Provider Business Mailing Address
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Address Line | 19030 WATERFORD CV
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City | HOUSTON
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State | TX
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Zip | 77094-3480
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Country | US
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Telephone |
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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 | 0-05-1771
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License Number State | TX
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