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General NPI Number Information
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NPI Number | 1235647272
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Entity Type | Organization
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Legal Business Name | ALL ABOUT BEHAVIOR LLC
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Dates
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Enumeration Date | 01/11/2018
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Last Update Date | 01/11/2018
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Provider Practice Location Address
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Address Line | 694 HUNTINGTON PKWY
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City | NASHVILLE
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State | TN
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Zip | 37211-5917
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Country | US
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Telephone | 770-883-6613
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Fax | 615-301-8160
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Provider Business Mailing Address
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Address Line | 694 HUNTINGTON PKWY
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City | NASHVILLE
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State | TN
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Zip | 37211-5917
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Country | US
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Telephone | 770-883-6613
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Fax | 615-301-8160
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Authorized Official
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Title or Position | OWNER, LBA
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Name | DACEY CARR
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Credential | MS, LBA, BCBA
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Telephone | 770-883-6613
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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 | LBA10000000186
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License Number State | TN
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