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General NPI Number Information
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NPI Number | 1306376454
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Entity Type | Individual
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Provider Name | CHRISTINE ELLEN RENEE HORNER MA, BCBA
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Gender | Female
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Dates
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Enumeration Date | 06/12/2017
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 209 HOBBS REESOR RD
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City | VINE GROVE
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State | KY
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Zip | 40175-7302
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Country | US
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Telephone | 478-227-4428
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Fax | 888-690-5532
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Provider Business Mailing Address
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Address Line | 209 HOBBS REESOR RD
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City | VINE GROVE
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State | KY
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Zip | 40175-7302
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Country | US
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Telephone | 478-227-4428
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Fax | 888-690-5532
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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 | 4001
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License Number State | TX
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