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General NPI Number Information
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NPI Number | 1376140228
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Entity Type | Individual
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Provider Name | RAVIN CATO BEARD BCBA
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Gender | Female
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Dates
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Enumeration Date | 10/05/2020
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 4150 DEPUTY BILL CANTRELL MEMORIAL RD SUITE T200
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City | CUMMING
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State | GA
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Zip | 30040-3002
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Country | US
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Telephone | 470-839-3041
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Fax | 317-520-8200
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Provider Business Mailing Address
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Address Line | 3850 HOLCOMB BRIDGE RD
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City | PEACHTREE CORNERS
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State | GA
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Zip | 30092-5223
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Country | US
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Telephone | 404-726-3426
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Fax |
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | BACB610942
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License Number State | GA
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