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General NPI Number Information
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NPI Number | 1225492846
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Entity Type | Organization
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Legal Business Name | GUIDING BEHAVIOR COUNSELING, PLLC
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Dates
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Enumeration Date | 04/09/2016
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Last Update Date | 08/02/2022
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Provider Practice Location Address
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Address Line | 2923 N MILWAUKEE AVE UNIT 306
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City | CHICAGO
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State | IL
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Zip | 60618-7886
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Country | US
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Telephone | 773-726-4832
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Fax | 773-409-5458
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Provider Business Mailing Address
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Address Line | 2850 N ROCKWELL ST
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City | CHICAGO
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State | IL
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Zip | 60618-7804
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Country | US
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Telephone | 773-726-4832
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Fax |
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Authorized Official
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Title or Position | LCSW, BCBA
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Name | GINNY GRIFFIN NIKIFOROS
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Credential | LCSW, BCBA
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Telephone | 773-726-4832
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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 | 1-14-17879
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149015268
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License Number State | IL
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