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General NPI Number Information
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NPI Number | 1285550244
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Entity Type | Individual
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Provider Name | MRS. CLEO BRIANNAH JENKINS BECKHAM
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Gender | Female
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Dates
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Enumeration Date | 06/25/2026
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Last Update Date | 06/25/2026
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Provider Practice Location Address
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Address Line | 305 N HEATHERWILDE BLVD STE 340350
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-3757
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Country | US
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Telephone | 521-820-3825
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Fax |
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Provider Business Mailing Address
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Address Line | 12001 DESSAU RD APT 1132
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City | AUSTIN
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State | TX
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Zip | 78754-1904
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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 |
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | TX
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