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General NPI Number Information
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NPI Number | 1346849718
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Entity Type | Organization
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Legal Business Name | TWINKLE AUTISM THERAPY, LLC
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Dates
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Enumeration Date | 10/18/2020
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 12175 NETWORK BLVD
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City | SAN ANTONIO
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State | TX
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Zip | 78249-3413
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Country | US
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Telephone | 210-797-7181
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Fax |
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Provider Business Mailing Address
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Address Line | 12175 NETWORK BLVD STE 100
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City | SAN ANTONIO
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State | TX
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Zip | 78249-3432
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Country | US
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Telephone | 210-797-7181
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | NNENNA AWAGU
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Credential | DNAP
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Telephone | 210-797-7187
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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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 | 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 #6
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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 #7
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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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