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General NPI Number Information
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NPI Number | 1285524439
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Entity Type | Organization
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Legal Business Name | THE BEHAVIOR GROUP, LLC
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Dates
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Enumeration Date | 07/08/2025
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 1332 TEASLEY LN # 253
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City | DENTON
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State | TX
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Zip | 76205-7946
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Country | US
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Telephone | 573-559-0395
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Fax |
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Provider Business Mailing Address
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Address Line | 1332 TEASLEY LN # 253
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City | DENTON
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State | TX
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Zip | 76205-7946
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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 | CHIEF EXECUTIVE OFFICER
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Name | MR. ETHAN PROTZEL
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Credential |
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Telephone | 573-559-0395
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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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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