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General NPI Number Information
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NPI Number | 1225324957
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Entity Type | Organization
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Legal Business Name | BEHAVIOR CONSULTANTS, LLC
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Dates
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Enumeration Date | 06/21/2011
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Last Update Date | 06/21/2011
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Provider Practice Location Address
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Address Line | 6803 S LIVERPOOL ST
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City | CENTENNIAL
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State | CO
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Zip | 80016-1770
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Country | US
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Telephone | 720-273-1984
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Fax |
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Provider Business Mailing Address
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Address Line | 6803 S LIVERPOOL ST
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City | CENTENNIAL
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State | CO
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Zip | 80016-1770
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Country | US
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Telephone | 720-273-1984
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST/DIRECTOR
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Name | DR. DAN A DOYLE
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Credential | PH.D.
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Telephone | 720-273-1984
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1172
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License Number State | CO
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