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General NPI Number Information
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NPI Number | 1366058083
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Entity Type | Organization
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Legal Business Name | THE HOUSE PROJECT
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Dates
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Enumeration Date | 09/17/2020
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 5570 STERRETT PL STE 208
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City | COLUMBIA
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State | MD
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Zip | 21044-2649
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Country | US
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Telephone | 301-615-1007
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Fax |
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Provider Business Mailing Address
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Address Line | 1218 SARGEANT ST
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City | BALTIMORE
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State | MD
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Zip | 21223-3630
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CLINICAL PROVIDER
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Name | STEPHANIE JEAN
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Credential | BCBA
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Telephone | 301-825-6265
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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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