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General NPI Number Information
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NPI Number | 1346963246
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL EVALUATION SERVICES OF TEXAS
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Dates
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Enumeration Date | 09/26/2022
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Last Update Date | 11/09/2022
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Provider Practice Location Address
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Address Line | 2150 S CENTRAL EXPY STE 200
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City | MCKINNEY
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State | TX
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Zip | 75070-4000
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Country | US
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Telephone | 214-550-7757
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Fax | 214-550-7753
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Provider Business Mailing Address
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Address Line | 2150 S CENTRAL EXPY STE 200
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City | MCKINNEY
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State | TX
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Zip | 75070-4000
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Country | US
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Telephone | 214-550-7757
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Fax | 214-550-7753
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Authorized Official
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Title or Position | OWNER
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Name | DR. ELEONORA BASS
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Credential | PSY.D.
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Telephone | 214-403-8973
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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