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General NPI Number Information
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NPI Number | 1336952431
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL BLUEPRINTS CLINICAL SERVICES, LLC
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Dates
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Enumeration Date | 01/31/2025
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 14316 REESE BLVD W # B-885
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-7959
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Country | US
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Telephone | 704-464-2264
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Fax |
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Provider Business Mailing Address
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Address Line | 14316 REESE BLVD W # B-885
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-7959
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Country | US
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Telephone | 704-464-2264
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CANDICE RYAN
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Credential | BCBA, NCLBA
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Telephone | 951-719-4158
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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 |
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License Number State |
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