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General NPI Number Information
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NPI Number | 1245725225
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Entity Type | Individual
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Provider Name | KAITLYN BROOKE OSBORNE-BIAS BCBA
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Gender | Female
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Dates
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Enumeration Date | 06/22/2018
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Last Update Date | 10/18/2023
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Provider Practice Location Address
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Address Line | 310 W CENTRAL TEXAS EXPY
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City | KILLEEN
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State | TX
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Zip | 76541-2573
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Country | US
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Telephone | 254-279-3426
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Fax |
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Provider Business Mailing Address
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Address Line | 11214 OAK TREE DR
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City | SALADO
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State | TX
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Zip | 76571-5322
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Country | US
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Telephone | 254-289-9892
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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 | 4867
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License Number State | TX
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