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General NPI Number Information
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NPI Number | 1427542406
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Entity Type | Organization
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Legal Business Name | NORTHERN NEVADA CENTER FOR BEHAVIORAL SERVICES
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Dates
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Enumeration Date | 06/21/2018
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 2411 EMBLEM ST
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City | SPARKS
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State | NV
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Zip | 89436-9171
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Country | US
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Telephone | 775-335-6953
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Fax |
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Provider Business Mailing Address
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Address Line | 2411 EMBLEM ST
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City | SPARKS
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State | NV
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Zip | 89436-9171
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Country | US
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Telephone | 775-335-6952
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARIA STEVENSON
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Credential | PHD, BCBA-D, LBA
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Telephone | 775-335-6953
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-03-1439
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License Number State |
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