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NPI 1245035674

NPI 1245035674 : GROW & TELL LLC : BENTON, LA

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General NPI Number Information
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    NPI Number           |    1245035674
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    Entity Type          |    Organization 
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    Legal Business Name  |    GROW & TELL LLC 
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Dates
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    Enumeration Date     |    02/18/2025
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    Last Update Date     |    07/11/2025
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Provider Practice Location Address
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    Address Line         |    205 FAIRBURN AVE STE C 
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    City                 |    BENTON
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    State                |    LA
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    Zip                  |    71006-3514
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    Country              |    US
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    Telephone            |    318-200-0373
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    Fax                  |    318-495-2727
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Provider Business Mailing Address
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    Address Line         |    624 BLOOMINGTON LN 
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    City                 |    BOSSIER CITY
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    State                |    LA
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    Zip                  |    71112-4870
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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    |    OWNER
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    Name                 |     TUESDAY  HILL 
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    Credential           |    BCBA
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    Telephone            |    318-750-6804
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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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