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General NPI Number Information
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NPI Number | 1346871126
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Entity Type | Organization
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Legal Business Name | BTI SCHOOL SERVICES LLC
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Dates
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Enumeration Date | 01/30/2020
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Last Update Date | 01/30/2020
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Provider Practice Location Address
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Address Line | 2225 SYCAMORE ST. #1003
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City | HARRISBURG
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State | PA
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Zip | 17111-1026
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Country | US
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Telephone | 844-588-4222
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Fax | 717-775-3443
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Provider Business Mailing Address
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Address Line | 2225 SYCAMORE ST. #1003
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City | HARRISBURG
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State | PA
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Zip | 17111-1026
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Country | US
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Telephone | 844-588-4222
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Fax | 717-775-3443
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | JEN CLARK
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Credential |
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Telephone | 717-502-4674
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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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