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General NPI Number Information
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NPI Number | 1396164745
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Entity Type | Organization
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Legal Business Name | KEY BEHAVIOR SERVICES, LLC
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Dates
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Enumeration Date | 04/14/2014
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Last Update Date | 02/17/2023
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Provider Practice Location Address
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Address Line | 5963 KENTSHIRE DR # A
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City | KETTERING
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State | OH
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Zip | 45440-4253
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Country | US
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Telephone | 937-952-6379
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Fax |
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Provider Business Mailing Address
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Address Line | 5963 KENTSHIRE DR # A
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City | KETTERING
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State | OH
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Zip | 45440-4253
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Country | US
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Telephone | 937-952-6379
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HAL S HOUSEWORTH
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Credential | BCBA
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Telephone | 937-952-6379
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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 | 1-12-10444
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License Number State |
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