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General NPI Number Information
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NPI Number | 1427607506
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Entity Type | Individual
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Provider Name | MICHELLE LYNNE WINTRICH BCBA
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Gender | Female
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Dates
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Enumeration Date | 09/10/2019
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Last Update Date | 07/12/2024
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Provider Practice Location Address
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Address Line | 2831 ELDORADO PKWY STE 106
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City | FRISCO
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State | TX
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Zip | 75033-7438
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Country | US
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Telephone | 214-778-1153
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Fax | 214-778-1153
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Provider Business Mailing Address
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Address Line | 200 CAHABA PARK CIR
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City | BIRMINGHAM
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State | AL
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Zip | 35242-5002
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Country | US
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Telephone |
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-18-67775
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License Number State | NC
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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 | 12152347
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License Number State | TX
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