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General NPI Number Information
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NPI Number | 1396017372
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Entity Type | Organization
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Legal Business Name | ACTUAL BEHAVIOR CHANGE, LP
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Dates
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Enumeration Date | 02/06/2012
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 73 WHITE BRIDGE RD STE. 103-232
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City | NASHVILLE
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State | TN
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Zip | 37205-1444
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Country | US
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Telephone | 615-916-0664
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Fax | 615-953-2949
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Provider Business Mailing Address
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Address Line | 73 WHITE BRIDGE RD STE. 103-232
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City | NASHVILLE
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State | TN
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Zip | 37205-1444
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Country | US
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Telephone | 615-916-0664
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Fax | 615-953-2949
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Authorized Official
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Title or Position | OWNER
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Name | BETHANY HOLTON
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Credential | LBA, BCBA, MS
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Telephone | 615-916-0664
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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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 |
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License Number State |
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