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General NPI Number Information
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NPI Number | 1285444240
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Entity Type | Organization
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Legal Business Name | ROOTED IN GRACE
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Dates
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Enumeration Date | 01/11/2025
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Last Update Date | 01/11/2025
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Provider Practice Location Address
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Address Line | 19919 WILD HORSE HOLLOW LN
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City | TOMBALL
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State | TX
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Zip | 77377-2774
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Country | US
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Telephone | 512-293-4935
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Fax |
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Provider Business Mailing Address
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Address Line | 20623 CATALAN FIELD CT
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City | TOMBALL
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State | TX
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Zip | 77377-2880
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Country | US
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Telephone | 323-447-0453
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Fax |
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Authorized Official
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Title or Position | BCBA
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Name | MRS. MELANIE ABELLA
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Credential | MS BCBA LBA
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Telephone | 323-447-0453
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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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