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General NPI Number Information
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NPI Number | 1316386402
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Entity Type | Organization
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Legal Business Name | BEHAVIOR SOLUTIONS LLC
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Dates
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Enumeration Date | 06/21/2013
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Last Update Date | 08/24/2016
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Provider Practice Location Address
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Address Line | 2147 CENTER GRANGE DR
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City | BYRON CENTER
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State | MI
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Zip | 49315
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Country | US
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Telephone | 616-780-1114
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Fax | 616-805-1525
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Provider Business Mailing Address
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Address Line | PO BOX 68578
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City | GRAND RAPIDS
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State | MI
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Zip | 49516-8578
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Country | US
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Telephone | 616-780-1114
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Fax | 616-805-1525
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Authorized Official
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Title or Position | OWNER/PARTNER
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Name | MRS. JANETTE BRIANNA SEAGER
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Credential | LLP, BCBA
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Telephone | 616-780-1114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 6301013723
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License Number State | MI
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