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General NPI Number Information
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NPI Number | 1255716650
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Entity Type | Organization
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Legal Business Name | NEW HOPE BEHAVIOR ANLAYSIS
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Dates
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Enumeration Date | 07/27/2015
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Last Update Date | 07/27/2015
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Provider Practice Location Address
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Address Line | 10200 NI RIVER DR
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City | SPOTSYLVANIA
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State | VA
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Zip | 22553-3741
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Country | US
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Telephone | 540-693-0830
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Fax | 540-301-2131
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Provider Business Mailing Address
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Address Line | 10200 NI RIVER DR
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City | SPOTSYLVANIA
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State | VA
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Zip | 22553-3741
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Country | US
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Telephone | 540-693-0830
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Fax | 540-301-2131
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Authorized Official
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Title or Position | OWNER
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Name | KATHERINE M LYNCH
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Credential | M.ED., BCBA, LBA
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Telephone | 571-305-3831
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 01330000254
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License Number State | VA
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