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General NPI Number Information
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NPI Number | 1316211089
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Entity Type | Organization
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Legal Business Name | BEHAVIOR WORKS, LLC
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Dates
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Enumeration Date | 02/28/2012
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Last Update Date | 02/28/2012
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Provider Practice Location Address
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Address Line | 3338 CRESTDALE DR
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City | HOUSTON
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State | TX
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Zip | 77080-1247
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Country | US
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Telephone | 832-703-4663
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Fax | 713-690-0515
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Provider Business Mailing Address
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Address Line | 3338 CRESTDALE DR
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City | HOUSTON
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State | TX
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Zip | 77080-1247
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Country | US
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Telephone | 832-703-4663
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Fax | 713-690-0515
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | SCOTT DAVID NIPPER
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Credential | M. ED. BCBA
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Telephone | 832-703-4663
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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 | 1-10-7773
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License Number State | TX
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