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General NPI Number Information
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NPI Number | 1366338147
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Entity Type | Organization
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Legal Business Name | A & B HUMPHREY LLC
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Dates
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Enumeration Date | 06/17/2025
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 521 IH 45 S STE 9
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City | HUNTSVILLE
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State | TX
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Zip | 77340-5649
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Country | US
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Telephone | 337-707-0636
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8342
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City | HUNTSVILLE
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State | TX
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Zip | 77340-0006
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Country | US
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Telephone | 337-707-0636
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Fax |
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Authorized Official
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Title or Position | OWNER & CLINICAL DIRECTOR
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Name | MRS. BROOKE BAILEY HUMPHREY
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Credential |
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Telephone | 337-707-0636
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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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