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NPI 1366059677

NPI 1366059677 : TIA MAY HOPPE MS, BCBA : GRIFFIN, GA

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General NPI Number Information
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    NPI Number           |    1366059677
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    Entity Type          |    Individual 
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    Provider Name        |    TIA MAY HOPPE MS, BCBA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/30/2020
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    Last Update Date     |    01/26/2026
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Provider Practice Location Address
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    Address Line         |    141 FUTRAL RD 
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    City                 |    GRIFFIN
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    State                |    GA
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    Zip                  |    30224-7455
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    Country              |    US
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    Telephone            |    678-429-0272
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    Fax                  |    678-408-9698
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Provider Business Mailing Address
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    Address Line         |    141 FUTRAL RD 
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    City                 |    GRIFFIN
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    State                |    GA
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    Zip                  |    30224-7455
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    Country              |    US
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    Telephone            |    678-429-0272
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    Fax                  |    678-408-9698
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    RBT-20-132200
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    License Number State |    GA
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Taxonomy #2
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    Taxonomy Code        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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    License Number       |    1-25-81230
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    License Number State |    GA
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