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General NPI Number Information
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NPI Number | 1346049954
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Entity Type | Organization
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Legal Business Name | ACTIVATE BEHAVIORAL SOLUTIONS LLC
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Dates
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Enumeration Date | 03/08/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 11619 INDEPENDENCE PKWY STE 320
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City | FRISCO
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State | TX
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Zip | 75035-2060
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Country | US
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Telephone | 909-301-7439
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Fax |
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Provider Business Mailing Address
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Address Line | 3711 KELSEY CT
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City | FRISCO
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State | TX
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Zip | 75035-5280
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Country | US
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Telephone | 909-301-7439
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | KHIRY KEMP
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Credential |
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Telephone | 347-628-2162
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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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 | 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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