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General NPI Number Information
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NPI Number | 1275041907
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Entity Type | Organization
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Legal Business Name | CALLAHAN ACADEMY FOR EXCELLENCE
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Dates
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Enumeration Date | 01/16/2018
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Last Update Date | 04/19/2021
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Provider Practice Location Address
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Address Line | 2353 INFANTRY POST RD
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City | SAN ANTONIO
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State | TX
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Zip | 78234-1309
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Country | US
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Telephone | 228-326-4266
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Fax | 855-230-1464
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Provider Business Mailing Address
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Address Line | 2353 INFANTRY POST RD
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City | SAN ANTONIO
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State | TX
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Zip | 78234-1309
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Country | US
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Telephone | 228-326-4266
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Fax | 855-230-1464
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Authorized Official
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Title or Position | OWNER
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Name | PATRINA ARLEEN CALLAHAN
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Credential | BCBA
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Telephone | 228-326-4266
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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 | 160036
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License Number State | MS
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Taxonomy #2
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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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