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General NPI Number Information
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NPI Number | 1295549384
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Entity Type | Individual
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Provider Name | MICHEALA BUTLER BCBA, LBA
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Gender | Female
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Dates
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Enumeration Date | 02/06/2025
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 1801 ROYAL LN STE 300
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City | FARMERS BRANCH
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State | TX
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Zip | 75229-3765
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Country | US
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Telephone | 888-754-0398
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Fax |
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Provider Business Mailing Address
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Address Line | 889 UNION STATION PKWY APT 17104
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City | LEWISVILLE
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State | TX
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Zip | 75057-5154
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Country | US
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Telephone | 469-918-3551
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-25-78946
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License Number State | TX
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