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General NPI Number Information
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NPI Number | 1285559203
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Entity Type | Individual
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Provider Name | MS. KWANTIA R MCCLAIN
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Gender | Female
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Dates
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Enumeration Date | 08/10/2026
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Last Update Date | 08/10/2026
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Provider Practice Location Address
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Address Line | 3966 ATLANTA HWY STE 375
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City | MONTGOMERY
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State | AL
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Zip | 36109-2919
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Country | US
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Telephone | 855-832-6727
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Fax |
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Provider Business Mailing Address
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Address Line | 209 RIVER RD
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City | WETUMPKA
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State | AL
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Zip | 36092-1413
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Country | US
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Telephone | 334-207-4209
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number | 7534441
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | 7534441
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 7534441
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License Number State | AL
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