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General NPI Number Information
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NPI Number | 1306687579
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Entity Type | Organization
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Legal Business Name | 99BILLION BETTER BEHAVIOR SUPPORT & LEARNING CENTER
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Dates
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Enumeration Date | 06/03/2024
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 1700 EDMAR LN
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City | SAINT LOUIS
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State | MO
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Zip | 63138-1714
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Country | US
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Telephone | 314-219-1790
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Fax | 314-473-1094
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Provider Business Mailing Address
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Address Line | 1700 EDMAR LN
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City | SAINT LOUIS
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State | MO
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Zip | 63138-1714
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Country | US
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Telephone | 314-219-1790
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Fax | 314-473-1094
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Authorized Official
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Title or Position | PRESIDENT
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Name | PROF. ANNETTA ANNETTA SYKES
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Credential | LPC
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Telephone | 314-614-7062
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101200000X
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Taxonomy Name | Drama Therapist
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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